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1265262398
DIVINE SOURCE CARE, LLC
INDIANAPOLIS, IN
NPI
1265262398
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Entity Type
Organization
Authorized Contact
SYDNEY GORDON
CEO
317-499-2757
Organization Subpart ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2024-08-05
Last Update Date
2024-09-09
Business Address
DIVINE SOURCE CARE, LLC
50 SHELBY ST STE 412
INDIANAPOLIS, IN 46202-3910
Phone number: 317-499-2757
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Mailing Address
DIVINE SOURCE CARE, LLC
50 SHELBY ST STE 412
INDIANAPOLIS, IN 46202-3910
Phone number:
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