| NPI | 1326864620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MASSALEY Designated Manager 317-201-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |