| NPI | 1780478297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK PETERSON CEO 317-765-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |