| NPI | 1982477998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DOVE Administrator 317-701-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2024-07-25 |