| NPI | 1932521879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EUGENE WEAVER Administrator/Owner 765-674-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 130133491) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |