NPI: 1548596372
Provider Name: GRACE DIVINE, LLC
Doing Business As: GRACE AT HOME, PRIMARY CARE HOUSE CALLS
Classification: Family Medicine - 207QG0300X
Entity Type: Organization
Specialization: Geriatric Medicine
Address:
5256 E 65TH ST
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 429-0120
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GRACE DIVINE, LLC is a geriatric medicine family medicine in Indianapolis, IN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GRACE DIVINE, LLC NPI is 1548596372. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grace At Home, Primary Care House Calls.
The provider's business location address is:
5256 E 65TH ST
INDIANAPOLIS, IN
ZIP 46220-819
Phone: (317) 429-0120
Fax: (317) 800-7730
The provider's authorized official is Tammy M Crace Browning .
The authorized official title is President and has the following contact phone number (317) 429-0120.
The enumeration date for this NPI number is 10/29/2009 and was last updated on 4/18/2016.