| NPI | 1467295428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA D GORHAM Owner/CEO 317-360-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |