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Organization

SANCTUARY PERSONAL SERVICE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAJA J CALVIN (MANAGER)
(765) 231-5013
Entity
Organization

Contact information

Practice address
1901 E 800 N, WEST LAFAYETTE, IN 47906-9009
(765) 409-0980
Mailing address
5475 BROADWAY UNIT A286, MERRILLVILLE, IN 46410-1647
(765) 409-0980

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
03/28/2025
Last updated
03/28/2025
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