| NPI | 1215328091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE NICOLE THOMPSON Executive Director 219-678-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2015-02-14 |