KIDNEYSPA IN-HOME DIALYSIS SE TEXAS LLC

PEARLAND, TX
NPI1477212959
Entity TypeOrganization
Authorized ContactJUAN M CUELLAR
Member
305-329-2900
Organization Subpart ?No
Primary Taxonomy251F00000X Home Infusion
Additional Taxonomies251E00000X Home Health
253Z00000X In Home Supportive Care
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
332B00000X Durable Medical Equipment & Medical Supplies
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies
Enumeration Date2021-12-13
Last Update Date2023-10-17
Business Address
KIDNEYSPA IN-HOME DIALYSIS SE TEXAS LLC
7102 BROOKSIDE RD
PEARLAND, TX 77581-7323
Phone number: 832-352-4277
Mailing Address
KIDNEYSPA IN-HOME DIALYSIS SE TEXAS LLC
219 NW 12TH AVE APT 508
MIAMI, FL 33128-2206
Phone number: 305-329-2900