| NPI | 1821300245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNIE NICOLE JACKSON WALCOTT Owner/Caregiver 317-362-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 332U00000X Home Delivered Meals | |
| 385H00000X Respite Care | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |