Organization
AMAZING GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSY ALAGBE (REGISTERED NURSE)
(614) 260-7834
Entity
Organization
Contact information
Practice address
4825 W BEECHER ST, INDIANAPOLIS, IN 46241-4603
(614) 260-7834
Mailing address
4825 W BEECHER ST, INDIANAPOLIS, IN 46241-4603
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
28198833A
IN
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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