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Organization

COMPASS HOME DIALYSIS LLC

Active
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Organization

COMPASS HOME DIALYSIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY GRAVES (CHIEF OPERATING OFFICER)
(772) 349-3882
Entity
Organization

Contact information

Practice address
178 WEST CAMBELLTON ST, FAIRBURN, GA 30213
(772) 349-3882
Mailing address
1394 E 23RD ST, BROOKLYN, NY 11210-5113
(772) 349-3882

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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