| NPI | 1144820226 |
|---|---|
| Doing Business As | HERITAGE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | RYAN HEIGHT CEO/President 586-419-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-12-29 |