Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1760550354 |
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| LBN Legal business name | MEMORIAL HOSPITAL ASSOCIATION | ||||
| Authorized official | STEPHANIE BALDWIN - (CHIEF COMPLIANCE OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/01/2006 | ||||
| Last updated | 10/03/2025 - About 8 months ago | ||||
| Identifiers |
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