OrganizationActive
Hydraspa Rejuvenation Station LLC
NPI 1881407450 · Infusion Therapy Clinic/Center · Concord, NC
Provider details
- NPI number
- 1881407450
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Monique Lucas, Chief Nursing Officer(980) 310-6381
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Infusion Agency251F00000X
Agencies
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Practice location
11 Union St S Ste 105
Concord, NC 28025-5088
Phone: (980) 310-6381
Approximate (ZIP-level) locationGet directions
Mailing address
10301 Windtree Ln
Charlotte, NC 28215-9019
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.