| NPI | 1366288144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAUNDRA P MCCUBBINS Owner 317-602-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |