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Organization
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Active
Organization
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Active
Other names
MEMORIAL HOSPITAL HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE H LANIUS (VICE PRESIDENT, FINANCE)
(618) 257-5648
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5700
(618) 257-6949
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5700
(618) 257-6949
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1003144
IL
Other
Enumeration date
10/17/2006
Last updated
02/22/2013
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