| NPI | 1376318931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM POWELL Owner/President 574-387-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-09-24 |