| NPI | 1992431357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY DAVIS Owner 317-801-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-11-21 |