NPI | 1700685781 |
---|---|
Entity Type | Organization |
Authorized Contact | TABBITHA BOGARD CEO 219-809-1705 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
343900000X Non-emergency Medical Transport (VAN) | |
385H00000X Respite Care | |
Enumeration Date | 2025-03-11 |
Last Update Date | 2025-03-11 |