| NPI | 1124305131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHOCHANTA BENITA GOLDEN Executive Director 317-213-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IN 27046327A) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IN 27046327A) |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2012-03-29 |