Organization
SOLACE HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BUNN MBA, MSN, RN, CHPN (PRESIDENT/ADMINISTRATOR)
(260) 452-9261
Entity
Organization
Contact information
Practice address
280 COMMERCIAL ST, ROANOKE, IN 46783-1045
(260) 600-9912
Mailing address
PO BOX 490, ROANOKE, IN 46783-0490
(260) 452-9261
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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