# SOUTHERN INDIANA PERSONAL CARE AGENCY

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

## Provider details

- **NPI number:** 1356010664
- **Authorized official:** CAROLYN R GRUBB RN (ADMINISTRATOR)
- **Authorized official phone:** (812) 318-3067

## Contact information

- **Practice address:** 303 E TECUMSEH DR, ELLETTSVILLE, IN 47429-1982
- **Practice address phone:** (812) 803-0359
- **Mailing address:** 303 E TECUMSEH DR, ELLETTSVILLE, IN 47429-1982
- **Mailing address phone:** (812) 803-0359

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021