| NPI | 1114711181 |
|---|---|
| Former Legal Business Name | HOME LIFE DIALYSIS LLC |
| Entity Type | Organization |
| Authorized Contact | STACEY BOWMAN Owner 828-283-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-08 |