| NPI | 1134079262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH RIDLEY Administration 317-572-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |