| NPI | 1932926730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI SMITH CEO 219-902-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |