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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