| NPI | 1942091962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA BULLOCK COO 317-201-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-06-09 |