| NPI | 1710766423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERA ANDERSON Owner 317-772-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 333300000X Emergency Response System Companies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251C00000X | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |