| NPI | 1477931764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ADEWOPO Owner 317-427-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IN 201279870) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |