Grand Home Dialysis LLC

NPI #1780863878 in Surprise, Arizona

Provider Information

NPI Number
1780863878
Entity Type
Organization
Organization Name
Grand Home Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 25, 2007
Last Updated
Feb 24, 2025

Practice Location

Address
14671 W MOUNTAIN VIEW BLVD
Address 2
STE 106
State
Arizona
ZIP Code
85374-4840
Phone
(623) 546-6120

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

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

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