| NPI | 1134801194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETRA REYNOLDS TODD Owner /Operator 317-728-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-09 |