| NPI | 1124862412 |
|---|---|
| Former Legal Business Name | LOVE AND LIGHT CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | DERIANA WADE Owner 317-960-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |