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Grand Home Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Surprise, Arizona
NPI 1780863878

Grand Home Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AZ and is specialized in End-Stage Renal Disease (ESRD) Treatment. Grand Home Dialysis Llc practices in Surprise, AZ. The NPI Number for Grand Home Dialysis Llc is 1780863878 and holds a License No. (Arizona).

The current practice location address for Grand Home Dialysis Llc is 14671 W Mountain View Blvd, Surprise, AZ and can be reached out via phone at 623-546-6120 and via fax at 623-546-2693.

Location: 14671 W Mountain View Blvd, Surprise, AZ, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780863878
Provider Name
Grand Home Dialysis Llc
Credential
Provider Entity Type
Organization
Address
14671 W Mountain View Blvd, Surprise, AZ, 37027-7569
Phone Number
623-546-6120
Fax Number
623-546-2693
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
633472 05 AZ
institution
Provider Business Practice Location Address Details
Address
14671 W Mountain View Blvd
City
Surprise
State
Arizona
Zip
85374-4840
Phone Number
623-546-6120
Fax Number
623-546-2693
person
Provider Business Mailing Address Details
Address
14671 W Mountain View Blvd
City
Surprise
State
Arizona
Zip
85374-4840
Phone Number
623-546-6120
Fax Number
623-546-2693
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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