Organization
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Active
Other names
Citizens Memorial Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. FULBRIGHT (EXECUTIVE DIRECTOR)
(417) 328-6501
Entity
Organization
Contact information
Practice address
111 W BROADWAY ST, BOLIVAR, MO 65613-1501
(417) 328-6350
(417) 328-6987
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 326-6000
(417) 328-6237
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
003-10H0
MO
Other
Enumeration date
03/05/2007
Last updated
02/18/2020
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