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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
1376J00000XHomemaker

General Provider Information

NPI Number : 1578183166
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISU INC.
Provider Business Mailing Address
First Line : 1745 N NELLIS BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3673
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-476-2028
Provider Business Practice Location Address
First Line : 1735 N NELLIS BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3670
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-476-2028
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHUKA HUMPHREY EJIOFOR
Credential : PHD
Telephone Number : 702-459-7500
Provider Enumeration Date : 04/23/2020
Last Update Date : 04/23/2020

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Directions to “ISU INC. ” Practice Location

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