| NPI | 1679113955 |
|---|---|
| Former Legal Business Name | MAXXCARE HOME |
| Entity Type | Organization |
| Authorized Contact | SHARON HICKERSON Director 317-531-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-03-10 |