Memorial Home Services of Central Illinois, INC
NPI #1194134361 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1194134361
- Entity Type
- Organization
- Organization Name
- Memorial Home Services of Central Illinois, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEMORIAL HOME SERVICES
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 12, 2014
- Last Updated
- May 2, 2016
Practice Location
- Address
- 306 N WESTGATE AVE STE A
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3713
- Phone
- (217) 788-4663
Authorized Official
- Name
- MS. LORI VALENTINE, RN
- Title
- DIRECTOR, DME
- Phone
- (217) 788-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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