| NPI | 1629390224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUE VAILLE HOLLINS Chief Executive Officer 219-796-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 090121751) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |