| NPI | 1396518890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODECI HENDERSON CEO 317-779-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |