# MEMORIAL HOME SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982607123
- **Authorized official:** CHRISTINA ANN KING RN, BSN (DIRECTOR- HOME HEALTH)
- **Authorized official phone:** (217) 788-4663

## Contact information

- **Practice address:** 701 N 1ST ST, SPRINGFIELD, IL 62781-4952
- **Practice address phone:** (217) 788-4663
- **Practice address fax:** (217) 788-5557
- **Mailing address:** 701 N 1ST ST, SPRINGFIELD, IL 62781-4952
- **Mailing address phone:** (217) 788-4663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1002377 | IL | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 05/30/2024