| NPI | 1104560069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGGINA MATTIS Director Of Hos PIC E Services 317-694-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-08-26 |