Organization
DIVINITY HOME CARE LLC
Active
Other names
Divinity Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEXTER D CROUCH (OWNER)
(317) 945-3947
Entity
Organization
Contact information
Practice address
14872 BELLAMY CT, FISHERS, IN 46037-5545
(317) 945-3947
Mailing address
14872 BELLAMY CT, FISHERS, IN 46037-5545
(317) 945-3947
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
03/01/2024
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