| NPI | 1679336978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKETTA THOMASTON Administrator 317-405-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |