| NPI | 1992776124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S HUDDLESTON Vice President 219-756-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 069-164-H) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-08-22 |