| NPI | 1659694644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYONE J PRIEST Director 219-796-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2025-03-21 |