Organization · Type 2 NPI
Home Advantage Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Grand Rapids, MI
NPI number
1255840427
Active
Practice location
1621 44th St SW Ste 300
Grand Rapids, MI 49509-4387
Fax (512) 328-0779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1255840427
Home Advantage Dialysis's National Provider Identifier is 1255840427, issued on Sep 20, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 21, 2022.