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NPI Code Detail

MEDICARE: ISU INC

MEDICARE: ISU INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency6374PCS-0NV
2163WH0200XHome Health Registered Nurse6033HHA-ONV

General Provider Information

NPI Number : 1841577921
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISU INC
Provider Business Mailing Address
First Line : 1745 N. NELLIS BLVD
Second Line : STE A
City : LAS VEGAS
State : NV
Zip : 89115-3673
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-459-1176
Provider Business Practice Location Address
First Line : 1745 N. NELLIS BLVD
Second Line : STE A
City : LAS VEGAS
State : NV
Zip : 89115-3673
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-459-1176
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHUKA E HUMPHREYS
Credential : PHD
Telephone Number : 702-459-7500
Provider Enumeration Date : 11/03/2011
Last Update Date : 11/08/2011

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Directions to “ISU INC ” Practice Location

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