| NPI | 1306544739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA WILSON Owner 317-208-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-04-21 |