| NPI | 1790468452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE SUE SMITH Manager 317-490-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-11-07 |