Organization
AT HOME DIALYSIS LLC
Active
Other names
AT HOME DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINA SHARICE VIVILLE (ADMINISTRATOR)
(281) 313-8800
Entity
Organization
Contact information
Practice address
8300 FM 1960 RD W STE 450, HOUSTON, TX 77070-5699
(281) 313-8800
Mailing address
8300 FM 1960 RD W STE 450, HOUSTON, TX 77070-5699
(281) 313-8800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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