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Organization

MEMORIAL HOME SERVICES

Active
Other names
Memorial Home Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXIS WALCH (DIRECTOR- HOSPICE)
(217) 788-4663
Entity
Organization

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-4952
(217) 788-4663
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-4952
(217) 788-4663

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2000719
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009326
HEALTH ALLIANCE
IL
01
137487
HEALTHLINK
IL
01
9575
BLUE CROSS BLUE SHIELD
IL
01
L016474
TRICARE
IL
Enumeration date
03/28/2007
Last updated
08/05/2019
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