| NPI | 1548810302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA TURNER Owner 219-384-4573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2023-12-04 |