Organization
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Active
Other names
MEMORIAL HOSPITAL HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE H LANIUS (VICE PRESIDENT, FINANCE)
(618) 257-5648
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5700
(618) 257-6949
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5700
(618) 257-6949
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1003144
IL
Other
Enumeration date
10/17/2006
Last updated
02/22/2013
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