| NPI | 1972315414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALILAH ODOM Manager 219-229-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-10-21 |