| NPI | 1124239132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE CARR Certified Nursing Assistant 317-541-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 48-03-04-00326) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility (Licence: IN 48-01-02-02913) | |
| 376K00000X Nurse's Aide (Licence: IN 48-01-02-02913) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |