Home Advantage Dialysis
NPI #1255840427 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1255840427
- Entity Type
- Organization
- Organization Name
- Home Advantage Dialysis
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 20, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1621 44TH ST SW STE 300
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49509-4387
- Phone
- (512) 328-6774
Authorized Official
- Name
- MR. JOHN R HEDRICK
- Title
- MEMBER
- Phone
- (512) 328-6774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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