| NPI | 1710460936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D WALLACE CEO 317-561-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |