| NPI | 1558022657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN MATEMACHANI Member 317-782-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |