| NPI | 1669753380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERA FAULKENBERG Owner 765-488-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 110117631) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |