| NPI | 1700511318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN SZERSZEN CEO 574-315-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-11-25 |