Organization
CRYSTAL DIAMOND HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE BURKE (ADMINISTRATION)
(765) 721-1988
Entity
Organization
Contact information
Practice address
4813 RIBBLE RD, INDIANAPOLIS, IN 46218-3127
(872) 297-7294
Mailing address
4813 RIBBLE RD, INDIANAPOLIS, IN 46218-3127
(872) 297-7294
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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