NPI | 1376318931 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM POWELL Owner 574-440-1731 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2023-11-22 |
Last Update Date | 2023-11-22 |