Organization · Type 2 NPI
End Stage Renal Disease Home Care Provider Agency
Dialysis Equipment & Supplies (DME) · Buckeye, AZ
NPI number
1083950984
Active
Practice location
22356 W Lasso Ln
Buckeye, AZ 85326-5979
Mailing address
PO Box 6911
Goodyear, AZ 85338-0632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dialysis Equipment & Supplies (DME) Primary | 332BD1200X | None listed |
Dialysis Equipment & Supplies (DME): Definition to come...
About NPI 1083950984
End Stage Renal Disease Home Care Provider Agency's National Provider Identifier is 1083950984, issued on Dec 20, 2012. The primary taxonomy on file is Dialysis Equipment & Supplies (DME) (332BD1200X), and the practice location is in Buckeye, AZ. The record was last updated on Sep 11, 2014.