Liberty Dialysis - Idaho Falls LLC

NPI #1487692950 in Idaho Falls, Idaho

Provider Information

NPI Number
1487692950
Entity Type
Organization
Organization Name
Liberty Dialysis - Idaho Falls LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 4, 2006
Last Updated
Oct 17, 2023

Practice Location

Address
2381 E SUNNYSIDE RD
State
Idaho
ZIP Code
83404-7521
Phone
(208) 523-8500

Authorized Official

Name
MR. BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

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

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