Taos Home Dialysis, LLC
NPI #1508456229 in Taos, New Mexico
Provider Information
- NPI Number
- 1508456229
- Entity Type
- Organization
- Organization Name
- Taos Home Dialysis, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 1415 WEIMER RD
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6383
- Phone
- (505) 670-3669
Authorized Official
- Name
- JOLYN WILLIAMS
- Title
- ADMINISTRATOR
- Phone
- (505) 575-9996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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