Organization
VALLEY HOME DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUDI ADI (MANAGING PARTNER)
(505) 933-0319
Entity
Organization
Contact information
Practice address
3900 E LOHMAN AVE STE B1, LAS CRUCES, NM 88011-8268
(505) 933-0319
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 933-0319
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
05/22/2020
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