| NPI | 1992113633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANNALOU RUSH Owner/Operator 219-226-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN 200936820A) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |