institution
Kidney Home Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glen Burnie, Maryland
NPI 1144597196

Kidney Home Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. Kidney Home Center Llc practices in Glen Burnie, MD. The NPI Number for Kidney Home Center Llc is 1144597196 and holds a License No. E2674 (Maryland).

The current practice location address for Kidney Home Center Llc is 6934 Aviation Blvd, Glen Burnie, MD and can be reached out via phone at 410-760-4976 and via fax at 410-761-1040. You can also correspond with Kidney Home Center Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4214).

Location: 6934 Aviation Blvd, Glen Burnie, MD, 37027-7569
institution
Provider Profile Details
NPI Number
1144597196
Provider Name
Kidney Home Center Llc
Credential
Provider Entity Type
Organization
Address
6934 Aviation Blvd, Glen Burnie, MD, 37027-7569
Phone Number
410-760-4976
Fax Number
410-761-1040
Provider Enumeration Date
11/18/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
421454400 05 MD
institution
Provider Business Practice Location Address Details
Address
6934 Aviation Blvd
City
State
Zip
21061-2593
Phone Number
410-760-4976
Fax Number
410-761-1040
person
Provider Business Mailing Address Details
Address
6934 Aviation Blvd
City
State
Zip
21061-2593
Phone Number
410-760-4976
Fax Number
410-761-1040
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
E2674 (Maryland)
Definition
Definition to come...
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