| NPI | 1548090301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIKARIM A KARSHE Administrator 317-677-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-04-07 |