institution
Liberty Dialysis - Hayden, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hayden, Idaho
NPI 1174711881

Liberty Dialysis - Hayden, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Nashville, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Liberty Dialysis - Hayden, Llc practices in Hayden, ID. The NPI Number for Liberty Dialysis - Hayden, Llc is 1174711881 and holds a License No. (Idaho).

The current practice location address for Liberty Dialysis - Hayden, Llc is 8556 N Wayne Dr, Hayden, ID and can be reached out via phone at 208-762-7724 and via fax at 208-762-7774. You can also correspond with Liberty Dialysis - Hayden, Llc through the mailing address at 424 CHURCH ST, NASHVILLE, TN - 37219-2301 (mailing address contact number: 615-777-8201).

Location: 8556 N Wayne Dr, Hayden, ID, 37219-2301
institution
Provider Profile Details
NPI Number
1174711881
Provider Name
Liberty Dialysis - Hayden, Llc
Credential
Provider Entity Type
Organization
Address
8556 N Wayne Dr, Hayden, ID, 37219-2301
Phone Number
208-762-7724
Fax Number
208-762-7774
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174711881 05 ID
institution
Provider Business Practice Location Address Details
Address
8556 N Wayne Dr
City
State
Zip
83835-5068
Phone Number
208-762-7724
Fax Number
208-762-7774
person
Provider Business Mailing Address Details
Address
424 Church St
City
State
Zip
37219-2301
Phone Number
615-777-8201
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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