End Stage Renal Disease Home Care Provider Agency
End Stage Renal Disease Home Care Provider Agency is a Dialysis Equipment & Supplies (DME) in Buckeye, Arizona. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
22356 W Lasso LnBuckeye, AZ 85326-5979
Phone: (623) 210-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dialysis Equipment & Supplies (DME) (primary) | Taxonomy 332BD1200X |
|---|
Record details
| NPI number | 1083950984 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Davis — Owner/Supply · (414) 759-8587 |
| Other names | None |
| NPI enumerated | December 20, 2012 |
| Last updated in NPPES | September 11, 2014 |
| Mailing address | Po Box 6911, Goodyear, AZ 85338-0632 |