Liberty Dialysis - Hayden, LLC

NPI #1174711881 in Hayden, Idaho

Provider Information

NPI Number
1174711881
Entity Type
Organization
Organization Name
Liberty Dialysis - Hayden, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 9, 2007
Last Updated
Mar 31, 2016

Practice Location

Address
8556 N WAYNE DR
City
Hayden
State
Idaho
ZIP Code
83835-5068
Phone
(208) 762-7724

Authorized Official

Name
THOMAS L. WEINBERG
Title
AUTHORIZED OFFICIAL
Phone
(214) 736-2700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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