Organization
LIFES JOURNEY PALLIATIVE CARE
Active
Other names
Lifes Journey of Avon LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D WALLACE (MEMBER)
(812) 239-3771
Entity
Organization
Contact information
Practice address
10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-9016
(812) 239-3771
(317) 561-6827
Mailing address
10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-9016
(812) 239-3771
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/13/2021
Last updated
07/21/2023
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