| NPI | 1205276706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA J BUTLER President 574-350-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 13-013251) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: IN 3430456059) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-04-09 |