| NPI | 1417702853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS TYLER Owner 317-985-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-08-09 |