| NPI | 1326867813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUILA SIMS Owner 317-793-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-11-19 |