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Organization

DEEPLY ROOTED HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERICA M JACKSON (OWNER)
(317) 487-9185
Entity
Organization

Contact information

Practice address
5671 PRESTONWOOD CT, INDIANAPOLIS, IN 46254-5022
(317) 603-9497
Mailing address
5671 PRESTONWOOD CT, INDIANAPOLIS, IN 46254-5022
(317) 487-9185

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
06/13/2025
Last updated
07/11/2025
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