| NPI | 1194391474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JAMES SIMMONS Owner 260-267-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |