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Organization

SERVANT HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUANESHA POTTER APRN (ADMINISTRATOR)
(317) 688-8395
Entity
Organization

Contact information

Practice address
2346 S LYNHURST DR STE E107, INDIANAPOLIS, IN 46241-5169
(317) 688-8395
(317) 688-8061
Mailing address
4035 SUNSHINE AVE, INDIANAPOLIS, IN 46228-6724
(317) 480-0415

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
02/18/2019
Last updated
06/03/2025
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