Organization
HOMECARE DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN ALBURQUERQUE (CEO)
(786) 800-8720
Entity
Organization
Contact information
Practice address
7220 W SIERRA VISTA DR, GLENDALE, AZ 85303-3556
(786) 800-8720
Mailing address
7220 W SIERRA VISTA DR, GLENDALE, AZ 85303-3556
(786) 800-8720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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