| NPI | 1558950022 |
|---|---|
| Doing Business As | INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC |
| Entity Type | Organization |
| Authorized Contact | SAM O OBEMBE CFO 310-614-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472R0900X Technician, Other, Renal Dialysis |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |