| NPI | 1184496986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE MCGORDON Owner 317-903-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |