Organization
LIFE'S JOURNEY OF AVON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D WALLACE (CEO)
(317) 561-6838
Entity
Organization
Contact information
Practice address
10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-9016
(317) 561-6838
(317) 561-6827
Mailing address
10241 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-9016
(317) 561-6838
(317) 561-6827
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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