Organization · Type 2 NPI
Liberty at Home Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dallas, TX
NPI number
1821477415
Active
Practice location
5535 Red Bird Center Dr, Suite 150
Dallas, TX 75237-1921
Fax (214) 331-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | 017487 (TX) |
| 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 1821477415
Liberty at Home Dialysis, LLC's National Provider Identifier is 1821477415, issued on May 28, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dallas, TX. The record was last updated on Aug 18, 2016.