# INDEPENDENCE PERSONAL CARE LLC

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

## Provider details

- **NPI number:** 1376260489
- **Authorized official:** MRS. MELISSA A RUTHERFORD RN (ADMINISTRATOR)
- **Authorized official phone:** (317) 954-8328

## Contact information

- **Practice address:** 8282 S NINEVEH RD, NINEVEH, IN 46164-9705
- **Practice address phone:** (317) 933-3310
- **Practice address fax:** (317) 933-3311
- **Mailing address:** 8282 S NINEVEH RD, NINEVEH, IN 46164-9705
- **Mailing address phone:** (317) 933-3310
- **Mailing address fax:** (317) 933-3311

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 11/02/2023
