| NPI | 1558088732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLIE BRANSON CEO 317-728-4716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |