| NPI | 1700937190 |
|---|---|
| Other Name | SHAUNA KAY MOORE |
| Entity Type | Organization |
| Authorized Contact | SHAUNA KAY MOORE Owner, Member 317-902-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 1645) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2015-10-11 |