| NPI | 1295301216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KEITH WEDDLE CFO 317-736-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-09-03 |