Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1720172307 |
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| LBN Legal business name | DECATUR MEMORIAL HOSPITAL | ||||
| Authorized official | DEBRA BRAGG - (VP OF FINANCE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/03/2006 | ||||
| Last updated | 05/13/2019 - About 7 years ago | ||||
| Identifiers |
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