End Stage Renal Disease Home Care Provider Agency
Dialysis Equipment & Supplies
22356 W Lasso Ln, Buckeye
Arizona, 85326-5979
623-210-2710 End Stage Renal Disease Home Care Provider Agency is a Dialysis Equipment & Supplies in Buckeye, Arizona. It is located at 22356 W Lasso Ln, Buckeye and it's customer support contact number is 623-210-2710. The authorized person of End Stage Renal Disease Home Care Provider Agency is Mr. William Henry Davis Jr. who is Owner/supply of this DME and his contact number is 414-759-8587.
End Stage Renal Disease Home Care Provider Agency is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
End Stage Renal Disease Home Care Provider Agency type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | End Stage Renal Disease Home Care Provider Agency |
| Type: | Dialysis Equipment & Supplies |
| Location: | 22356 W Lasso Ln, Buckeye,
Arizona, 85326-5979 |
| Phone: | 623-210-2710 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. William Henry Davis Jr. |
| Position: | Owner/supply |
| Contact Number: | 414-759-8587 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1083950984 |
| NPI Enumeration Date: | 20 Dec, 2012 |
| NPI Last Update On: | 11 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for End Stage Renal Disease Home Care Provider Agency are as mentioned below.
| Specialization | License Number | State | Status | |
| Dialysis Equipment & Supplies | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 6911,
Goodyear, Arizona |
| Zip: | 85338-0632 |
| Phone Number: | 414-759-8587 |
Patients can reach End Stage Renal Disease Home Care Provider Agency at
22356 W Lasso Ln, Buckeye, Arizona or can
call on customer care at 623-210-2710.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.