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Organization
SOUTHERN INDIANA PERSONAL CARE AGENCY
Active
Organization
SOUTHERN INDIANA PERSONAL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN R GRUBB RN (ADMINISTRATOR)
(812) 318-3067
Entity
Organization
Contact information
Practice address
303 E TECUMSEH DR, ELLETTSVILLE, IN 47429-1982
(812) 803-0359
Mailing address
303 E TECUMSEH DR, ELLETTSVILLE, IN 47429-1982
(812) 803-0359
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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