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Organization

VIAQUEST HOSPICE OF INDIANA, LLC

Active
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Organization

VIAQUEST HOSPICE OF INDIANA, LLC

Active
Other names
Serenity Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD JOHNSON (PRESIDENT)
(614) 339-0820
Entity
Organization

Contact information

Practice address
5 N 10TH ST, LAFAYETTE, IN 47901-1595
(765) 446-9100
(765) 884-7001
Mailing address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(614) 339-0814
(614) 339-1814

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
003308
IN
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201056830
IN
Enumeration date
12/05/2006
Last updated
11/25/2014
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