Southern Indiana Personal Care Agency

Organization Active NPI In Home Supportive Care Agency · Ellettsville, IN

NPI 1356010664 · NPPES record last updated Sep 9, 2021

Key facts

NPI
1356010664
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
SOUTHERN INDIANA PERSONAL CARE AGENCY
Practice address
303 E Tecumseh Dr
Ellettsville, IN 47429-1982
Phone
(812) 803-0359
NPI assigned
Sep 9, 2021
Organization subpart
No

Authorized official

Name
Carolyn R Grubb, RN
Title
Administrator
Phone
(812) 318-3067

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

303 E Tecumseh Dr
Ellettsville, IN 47429-1982

Mailing address

303 E Tecumseh Dr
Ellettsville, IN 47429-1982
Phone (812) 803-0359

Other practice location 1

303 E Tecumseh Dr
Ellettsville, IN 47429-1982
Phone (812) 803-0359

Other providers in Ellettsville, IN

All providers in Ellettsville, IN · In Home Supportive Care Agency in Indiana

Sources for this page

Verify at the official NPI Registry.