| NPI | 1790969681 |
|---|---|
| Doing Business As | PHOENIX HOME DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | THOMAS O USILTON Sr Vice President 770-541-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-01-10 |