| NPI | 1215818562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JENKINS Administrator 317-285-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |