| Organization Name: | CITIZENS MEMORIAL HOME HEALTH AND HOSPICE |
| NPI Number: | 1124157169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD J BABB (CEO) |
| Mailing Address: | 113 E Broadway Street Bolivar |
| State: | MO US |
| Postal Code: | 65613 |
| Phone Number: | 4173286350 |
| Fax Number: | 4173286987 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 003-10H0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |