| NPI | 1174258321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA J. LONG CEO 317-746-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-08-05 |