| NPI | 1760280663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAUNA INGRAM Owner/Operator 317-500-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |