| NPI | 1881575348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANOAH BEAVERS Owner 317-625-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |