Organization
HOME DIALYSIS SERVICES NOVI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
39575 W 10 MILE RD, SUITE 101, NOVI, MI 48375-2949
(815) 741-6830
(815) 741-6832
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
MI
Other
Enumeration date
11/09/2015
Last updated
11/10/2015
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