| NPI | 1952147225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL WILLIS Owner 317-794-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |