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Individual

DESTINE GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1901 BIGGER ST, GARY, IN 46404-2645
(219) 359-8128
Mailing address
1901 BIGGER ST, GARY, IN 46404-2645
(219) 359-8128

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IN
251S00000X
Community/Behavioral Health Agency
IN
253Z00000X
In Home Supportive Care Agency
IN
372600000X
Adult Companion
IN

Other

Enumeration date
11/21/2025
Last updated
11/25/2025
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