| NPI | 1790046795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN M OGLESBY ODOM Administrator 219-472-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 120128881) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2013-03-25 |