| NPI | 1720933849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA DAVENPORT Executive Director 317-258-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |