Organization
MAIN STREET HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WEDDLE (CFO)
(317) 736-0055
Entity
Organization
Contact information
Practice address
10 HIGHLAND AVE, FRANKLIN, IN 46131-1230
(317) 736-0055
(317) 739-3505
Mailing address
10 HIGHLAND AVE, FRANKLIN, IN 46131-1230
(317) 736-0055
(317) 739-3505
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
050091241
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020428
—
IN
Enumeration date
05/02/2006
Last updated
05/19/2021
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