| NPI | 1790500890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERRA MASON CEO 317-840-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |