Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
McDonough District Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E DIETZ (PRESIDENT, CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1525
Mailing address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1525
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2000933
IL
Other
Enumeration date
05/02/2006
Last updated
10/17/2023
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