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Contact Information

HYDRASPA REJUVENATION STATION LLC
11 UNION ST S STE 105
CONCORD, NC28025-5088
 Phone: 980-310-6381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infusion Therapy

261QI0500X
 

Home Infusion

251F00000X
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HYDRASPA REJUVENATION STATION LLC

NPI Number 1881407450
LBN Legal business name HYDRASPA REJUVENATION STATION LLC
Authorized official MONIQUE LUCAS - (CHIEF NURSING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2025
Last updated 01/28/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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