| NPI | 1255840427 |
|---|---|
| Doing Business As | HOME ADVANTAGE DIALYSIS MICHIGAN |
| Entity Type | Organization |
| Authorized Contact | JOHN R HEDRICK Member 512-328-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |