END STAGE RENAL DISEASE HOME CARE PROVIDER AGENCY is a dialysis equipment and supplies durable medical equipment medical supplies in Buckeye, AZ. END STAGE RENAL DISEASE HOME CARE PROVIDER AGENCY NPI is 1083950984. The provider is registered as an organization entity type.
The provider Other Name Is None.
The provider's business location address is:
22356 W LASSO LN
BUCKEYE, AZ
ZIP 85326-979
Phone: (623) 210-2710
The provider's authorized official is William Henry Davis .
The authorized official title is Owner/supply and has the following contact phone number (414) 759-8587.
The enumeration date for this NPI number is 12/20/2012 and was last updated on 9/11/2014.