Organization
HOME ADVANTAGE DIALYSIS
Active
Other names
HOME ADVANTAGE DIALYSIS MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R HEDRICK (MEMBER)
(512) 328-6774
Entity
Organization
Contact information
Practice address
1621 44TH ST SW STE 300, GRAND RAPIDS, MI 49509-4387
(512) 328-6774
(512) 328-0779
Mailing address
1621 44TH ST SW STE 300, GRAND RAPIDS, MI 49509-4387
(512) 328-6774
(512) 328-0779
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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