| NPI | 1386995751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA DAVIS President 317-331-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 376J00000X Homemaker | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |