NPI | 1487541108 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN JOHNSON Co Owner 317-600-8740 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-06-24 |
Last Update Date | 2025-08-12 |