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Organization
MEMORIAL HOSPITAL, INC.
Active
Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT POLENZ (ADMINISTRATOR)
(715) 743-3101
Entity
Organization
Contact information
Practice address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-3101
Mailing address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-6245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/18/2005
Last updated
05/12/2008
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