| NPI | 1164821419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CHERRY WILKIN Secretary 812-219-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34004227A) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IN 34004227A) |
| 253Z00000X In Home Supportive Care (Licence: IN 34004227A) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |