| NPI | 1790059566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS KING Administrator 317-602-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 10-011901-1) |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2012-02-26 |