| NPI | 1174221774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE ECHOLS Manager 317-531-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |