| NPI | 1689481483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRELL SHANTRICE BANNISTER CEO 317-332-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |