Organization
NORTH ALABAMA HOME DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1216 SOMERVILLE RD SE, DECATUR, AL 35601-4335
(256) 340-0012
Mailing address
1633 CHURCH ST STE 500, NASHVILLE, TN 37203-2948
(615) 432-0498
(615) 963-9730
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
10/05/2023
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