| NPI | 1205021359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIAH MAVURA MUKONA Physical Therapist, CEO. 317-924-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 05004874A) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |