Organization
KINDRED ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN WALLISCH RN, BSN, DON (OWNER, DIRECTOR OF NURSING)
(260) 444-1231
Entity
Organization
Contact information
Practice address
4210 FLAGSTAFF CV, FORT WAYNE, IN 46815-4417
(260) 602-0977
(844) 929-0078
Mailing address
6230 E BLUE STAR HWY, LAGRO, IN 46941-9457
(260) 444-1231
(844) 929-0078
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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