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Organization

GOOD SAMARITAN HOME CARE LLC

Active
Other names
Good Samaritan Home Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SYLVIA L DAVENPORT (CEO)
(463) 710-5465
Entity
Organization

Contact information

Practice address
8250 BASH ST # C7, INDIANAPOLIS, IN 46250-1938
(463) 710-5465
(317) 342-9539
Mailing address
8250 BASH ST # C7, INDIANAPOLIS, IN 46250-1938
(463) 710-5465

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
Primary
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
08/09/2024
Last updated
04/15/2025
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