| NPI | 1265262398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDISE KELLEY Administrative 317-499-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-02-04 |