| NPI | 1164920682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN LOPICCOLO Business Analyst 317-296-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-09-08 |