| NPI | 1598067399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE GENE PETERSON Director 317-677-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 100122971) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |