Organization
MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC
Active
Other names
Alternative Care Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A VALENTINE (DIRECTOR DURABLE MEDICAL EQUIPMENT)
(217) 788-4663
Entity
Organization
Contact information
Practice address
1935 BELT WAY DR, OVERLAND, MO 63114-5825
(314) 205-8600
Mailing address
644 N 2ND ST, SPRINGFIELD, IL 62702-5222
(217) 788-4663
(217) 788-5597
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
004857
MO
3336H0001X
Home Infusion Therapy Pharmacy
054-014084
IL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
054-014828
IL
3336S0011X
Specialty Pharmacy
004857
MO
3336S0011X
Specialty Pharmacy
054-014084
IL
3336S0011X
Specialty Pharmacy
054-014828
IL
Other
Enumeration date
03/29/2007
Last updated
08/01/2014
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