NPI | 1306564307 |
---|---|
Doing Business As | KETASSURE IV INFUSION CENTER |
Entity Type | Organization |
Authorized Contact | CORY J HESS Owner 217-636-1444 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Enumeration Date | 2022-08-16 |
Last Update Date | 2022-08-16 |