# PRECIOUS PEARL HOME HEALTH CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003639998
- **Authorized official:** MRS. DECOLBY P ANDERSON CEO, RN (CEO)
- **Authorized official phone:** (317) 499-6154

## Contact information

- **Practice address:** 6801 LAKE PLAZA DR STE C305, INDIANAPOLIS, IN 46220-4067
- **Practice address phone:** (317) 499-6154
- **Practice address fax:** (317) 827-6350
- **Mailing address:** 6801 LAKE PLAZA DR STE C305, INDIANAPOLIS, IN 46220-4067
- **Mailing address phone:** (317) 499-6154
- **Mailing address fax:** (317) 827-6350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 11/07/2024