| NPI | 1629504303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D WALLACE CEO 317-561-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2021-11-08 |