| NPI | 1073376240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIEKETTA WILLIS Manager/Owner 317-658-9315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2026-02-27 |