| NPI | 1235968892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ELLIOTT CEO 219-243-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |