Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hemodialysis |
163WH0500X |
| NPI Number | 1902564107 |
| LBN Legal business name | APEX DIALYSIS LLC |
| Authorized official | PHYLLIS BANAHENE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/04/2021 |
| Last updated | 12/04/2021 - About 5 years ago |
| Identifiers | n/a |
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APEX DIALYSIS LLC
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