| NPI | 1497589105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELL SALTER-BOONE CEO 260-702-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |