| NPI | 1730053893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJISOLA ERICSON Administrator/Owner 317-414-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| 251E00000X Home Health | |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |