Organization
CARE SOURCE PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON SHAFER (CEO)
(317) 490-1206
Entity
Organization
Contact information
Practice address
3970 E 16TH ST, INDIANAPOLIS, IN 46201-1538
(317) 490-1206
Mailing address
3970 E 16TH ST, INDIANAPOLIS, IN 46201-1538
(317) 490-1206
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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