| NPI | 1275150963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELETHIA RANDOLPH Co Owner 317-599-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372600000X Adult Companion |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |