Organization
MEMORIAL HOME CARE, INC.
Active
Organization
MEMORIAL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CONRAD (VICE PRESIDENT & GENERAL MANAGER)
(574) 647-8777
Entity
Organization
Contact information
Practice address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1781
(574) 273-2020
(574) 273-5602
Mailing address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1781
(574) 273-2020
(574) 273-5602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873341451
—
MI
Enumeration date
05/15/2008
Last updated
05/15/2008
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