Organization
HOME DIALYSIS SERVICES KC MIDTOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU ALAUSA (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
1728 HOLMES ST, KANSAS CITY, MO 64108-1539
(816) 381-6167
(816) 381-6169
Mailing address
PO BOX 3134, JOLIET, IL 60434-3134
(815) 714-7171
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
01/08/2019
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