| NPI | 1710170220 |
|---|---|
| Doing Business As | VETRA DAVIS |
| Entity Type | Organization |
| Authorized Contact | VETRA LEFAYE DAVIS Sole Proprietor 317-529-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |