| NPI | 1144116328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKRISTEN SMITH Owner 260-498-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 251E00000X Home Health | |
| 261QV0200X Clinic/Center VA | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 171400000X | |
| 251B00000X Case Management | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |