Organization
DESTIN'D CARE PERSONAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHEA BRYANT (CEO/MANAGER)
(317) 797-3794
Entity
Organization
Contact information
Practice address
3448 N RICHARDT AVE, INDIANAPOLIS, IN 46226-6364
(317) 797-3794
Mailing address
3448 N RICHARDT AVE, INDIANAPOLIS, IN 46226-6364
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
07/12/2023
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