institution
Jericho Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hampton, Virginia
NPI 1194185223

Jericho Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Jericho Dialysis, Llc practices in Hampton, VA. The NPI Number for Jericho Dialysis, Llc is 1194185223 and holds a License No. (Virginia).

The current practice location address for Jericho Dialysis, Llc is 5 W Mercury Blvd, Hampton, VA and can be reached out via phone at 757-723-4620 and via fax at 757-728-3566.

Location: 5 W Mercury Blvd, Hampton, VA, 37027-7569
institution
Provider Profile Details
NPI Number
1194185223
Provider Name
Jericho Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
5 W Mercury Blvd, Hampton, VA, 37027-7569
Phone Number
757-723-4620
Fax Number
757-728-3566
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194185223 05 VA
institution
Provider Business Practice Location Address Details
Address
5 W Mercury Blvd
City
State
Zip
23669-2508
Phone Number
757-723-4620
Fax Number
757-728-3566
person
Provider Business Mailing Address Details
Address
5 W Mercury Blvd
City
State
Zip
23669-2508
Phone Number
757-723-4620
Fax Number
757-728-3566
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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