| NPI | 1457183832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATORY LANDRUM Owner 317-947-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-16 |