Decatur Memorial Hospital
Hospice Care, Community Based in Decatur, IL. Organization (NPI-2).
NPI number1720172307
StatusActive
Last updated in NPPESMay 13, 2019
Details
- NPI
- 1720172307
- Entity type
- Organization (NPI-2)
- Legal business name
- Decatur Memorial Hospital
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- May 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | 2000354 | IL | Yes |
Other names
- Dmh Home Health Services - Hospice (Doing Business As)
Practice location
2870 N Main StDecatur, IL 62526-3234
Phone 217-876-6770 · Fax 217-876-6773
Mailing address
2300 N. EdwardDecatur, IL 62526
Phone 217-876-2264 · Fax 217-876-2261
Authorized official
Debra L Bragg
Vp Of Finance
2178762107
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