| NPI | 1174167720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL LANETE RICHARDSON Manager 317-937-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |