| NPI | 1609644814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN STRICKLAND Chief Executive Officer 480-435-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 2472R0900X Technician, Other, Renal Dialysis |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-06-05 |