| NPI | 1417144064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D. MCCOY Owner/Qmrp/Director 765-529-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 200869340A) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |