| NPI | 1720885635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY L ENGSTROM Business Office Manager 317-618-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |