Organization
LIFE'S JOURNEY OF AVON,LLC
Active
Other names
Life's Journey Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D WALLACE (CEO)
(317) 561-6840
Entity
Organization
Contact information
Practice address
1620 HAWTHORNE DR STE 600, PLAINFIELD, IN 46168-2815
(317) 561-6840
(317) 561-6827
Mailing address
1620 HAWTHORNE DR STE 600, PLAINFIELD, IN 46168-2815
(317) 561-6840
(317) 561-6827
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
05/02/2017
Last updated
06/19/2024
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