| NPI | 1295446474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETAVA MABILIJENGO President 317-210-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-09 |