| NPI | 1679270953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE BOWERS Owner 317-284-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-03-16 |