| NPI | 1316657711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLIE BRANSON CEO 317-728-4716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |