| NPI | 1679092985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE LEKELEFAC Member 260-579-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-11-01 |