| NPI | 1184465692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE DUSHAWN TURNER Chief Administrator 317-503-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |