| NPI | 1124593264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA NAZAROV President 317-313-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-12-05 |