# HEAVENSENT PSA LLC

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

## Provider details

- **NPI number:** 1215617568
- **Authorized official:** MARY B MURPHY (ADMIN)
- **Authorized official phone:** (765) 557-8249

## Contact information

- **Practice address:** 10484 N STATE ROAD 13 STE A, ELWOOD, IN 46036-8871
- **Practice address phone:** (765) 557-8248
- **Practice address fax:** (888) 823-8384
- **Mailing address:** 10484 N STATE ROAD 13 STE A, ELWOOD, IN 46036-8871
- **Mailing address phone:** (765) 557-8248
- **Mailing address fax:** (888) 823-8384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 07/21/2023