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Organization
LIBERTY CARE LLC DBA SOVEREIGN CARE SERVICES
Active
Organization
LIBERTY CARE LLC DBA SOVEREIGN CARE SERVICES
Active
Other names
Sovereign Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATAYA COOK PMP (OWNER)
(317) 654-4609
Entity
Organization
Contact information
Practice address
9411 CARLYLE DR APT D, INDIANAPOLIS, IN 46240-3903
(317) 654-4609
Mailing address
3250A W 86TH ST # 1264, INDIANAPOLIS, IN 46268-3605
(317) 654-4609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/29/2020
Last updated
12/05/2024
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