| NPI | 1073127023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OGAGAWORDIA BIOKORO Member 219-779-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-11-01 |