| NPI | 1669288106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAGIODUWA IMASUEN Managing Director 317-800-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |