| NPI | 1497417828 |
|---|---|
| Doing Business As | LIFES JOURNEY OF AVON LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT D WALLACE Member 812-239-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-07-21 |