| NPI | 1861258634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONZHAE DEVON LEE Owner 317-471-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-29 |