| NPI | 1922239706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY BRINAS Administrator 219-627-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 14-012121-1) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IN 090121211) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-07-28 |