Provider Demographics
NPI:1578183166
Name:ISU INC.
Entity Type:Organization
Organization Name:ISU INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKA
Authorized Official - Middle Name:HUMPHREY
Authorized Official - Last Name:EJIOFOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-459-7500
Mailing Address - Street 1:1745 N NELLIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3673
Mailing Address - Country:US
Mailing Address - Phone:702-459-7500
Mailing Address - Fax:702-476-2028
Practice Address - Street 1:1735 N NELLIS BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3670
Practice Address - Country:US
Practice Address - Phone:702-459-7500
Practice Address - Fax:702-476-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty