Organization
OASIS HOME DIALYSIS
Active
Parent organization
SOUTHWEST RENAL CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST RENAL CARE LLC
Authorized official
JUSTIN STRICKLAND (CHIEF EXECUTIVE OFFICER)
(480) 435-6106
Entity
Organization
Contact information
Practice address
161 W RODEO RD, CASA GRANDE, AZ 85122-6498
(480) 435-6106
Mailing address
809 W LONGHORN RD STE F, PAYSON, AZ 85541-4280
(480) 435-6106
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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