Organization
PREMIER HOME DIALYSIS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ERIK THOMPSON EMT/CPR/FF I&II (FOUNDER/CEO)
(602) 448-5411
Entity
Organization
Contact information
Practice address
20118 N 67TH AVE STE 300-527, GLENDALE, AZ 85308-4621
(602) 448-5411
Mailing address
20118 N 67TH AVE STE 300-527, GLENDALE, AZ 85308-4621
(602) 448-5411
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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