| NPI | 1265262398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY GORDON Administrative 317-499-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-06-02 |