| NPI | 1770354029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDAY LARRY OMOTOSO Manager 317-450-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |