Organization
INDEPENDENCE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA A RUTHERFORD RN (ADMINISTRATOR)
(317) 954-8328
Entity
Organization
Contact information
Practice address
8282 S NINEVEH RD, NINEVEH, IN 46164-9705
(317) 933-3310
(317) 933-3311
Mailing address
8282 S NINEVEH RD, NINEVEH, IN 46164-9705
(317) 933-3310
(317) 933-3311
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201134950A
—
IN
Enumeration date
10/20/2022
Last updated
11/02/2023
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