# A SOURCE OF LIFE HOME CARE LLC

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

## Provider details

- **NPI number:** 1871261982
- **Authorized official:** MRS. CATHY BULLOCK (OWNER)
- **Authorized official phone:** (317) 490-5526

## Contact information

- **Practice address:** 1111 E 54TH ST STE 211, INDIANAPOLIS, IN 46220-3581
- **Practice address phone:** (317) 490-5526
- **Mailing address:** 1111 E 54TH ST STE 211, INDIANAPOLIS, IN 46220-3581
- **Mailing address phone:** (317) 490-5526
- **Mailing address fax:** (317) 682-1942

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 03/19/2025