| NPI | 1568142719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA PHELPS Manager 317-983-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |