| NPI | 1558121020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY W HAMMOND Executive Director 812-946-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |