# AMAZING GRACE HOME CARE LLC

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

## Provider details

- **NPI number:** 1730456575
- **Authorized official:** MISS ROSY ALAGBE (REGISTERED NURSE)
- **Authorized official phone:** (614) 260-7834

## Contact information

- **Practice address:** 4825 W BEECHER ST, INDIANAPOLIS, IN 46241-4603
- **Practice address phone:** (614) 260-7834
- **Mailing address:** 4825 W BEECHER ST, INDIANAPOLIS, IN 46241-4603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 28198833A | IN | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 11/22/2011