| NPI | 1881378602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DENISE BARNES Manager 317-698-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |