# LIFES JOURNEY PALLIATIVE CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifes Journey of Avon LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497417828
- **Authorized official:** ROBERT D WALLACE (MEMBER)
- **Authorized official phone:** (812) 239-3771

## Contact information

- **Practice address:** 10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-9016
- **Practice address phone:** (812) 239-3771
- **Practice address fax:** (317) 561-6827
- **Mailing address:** 10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-9016
- **Mailing address phone:** (812) 239-3771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 07/21/2023