Elite Infusion IV Hydration LLC
NPI #1063047587 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1063047587
- Entity Type
- Organization
- Organization Name
- Elite Infusion IV Hydration LLC
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Mar 4, 2020
- Last Updated
- Mar 4, 2020
Practice Location
- Address
- 6136 WALNUT ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19139-3704
- Phone
- (267) 516-8048
Authorized Official
- Name
- SHAVON PARKER, LPN
- Title
- CEO
- Phone
- (267) 516-8048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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