# LIFE AT HOME PERSONAL CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1912592163
- **Authorized official:** WANDA E HARRIS (CEO)
- **Authorized official phone:** (317) 625-0746

## Contact information

- **Practice address:** 6160 N RURAL ST SUITE 1133, INDIANAPOLIS, IN 46220-3093
- **Practice address phone:** (317) 625-0746
- **Mailing address:** 6160 N RURAL ST SUITE 1133, INDIANAPOLIS, IN 46220
- **Mailing address phone:** (317) 625-0746

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2021
- **Last updated:** 01/06/2025
