| NPI | 1114773298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEQUANA T DURHAM CEO/Owner 317-762-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |