Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X |
| NPI Number | 1245084086 |
| LBN Legal business name | HYDRATE YOUR WAY |
| Authorized official | JOY SHANNON - (OWNER /CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/17/2024 |
| Last updated | 04/19/2024 - About 2 years ago |
| Identifiers | n/a |
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