| NPI | 1255635066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GRIMES President 317-452-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IN 10-012393-1) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |