| NPI | 1396230553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ELIZABETH MONTGOMERY Organizer/Owner 812-968-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 139608) |
| Additional Taxonomies | 251E00000X Home Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-09-11 |