| NPI | 1083954721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE STEVENSON President 219-230-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 12013046) |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-02-17 |