| NPI | 1689452039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN D BROWN Owner 317-496-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |