| NPI | 1811242290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LASHAIR BUCKLEY Owner/Manager 317-828-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IN 12-012939) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |