| NPI | 1225815616 |
|---|---|
| Former Legal Business Name | KINGSTON CARE LLC |
| Entity Type | Organization |
| Authorized Contact | TOMMARA MONTGOMERY CEO/Owner 317-205-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |