| NPI | 1174011662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NEVAREZ Office Manager 219-525-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: IN 18-014311-1) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |