Organization · Type 2 NPI
Shadow Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Citrus Heights, CA
NPI number
1780836684
Active
Practice location
6406 Tupelo Dr, Ste A
Citrus Heights, CA 95621-1780
Fax (916) 721-4376
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 110000455 (CA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Citrus Heights
About NPI 1780836684
Shadow Dialysis LLC's National Provider Identifier is 1780836684, issued on Oct 22, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Citrus Heights, CA. The record was last updated on Jul 16, 2024.