| NPI | 1891418018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN MATEMACHANI Member 317-986-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |