institution
Legacy Dialysis Of Fairfax Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfax, Virginia
NPI 1427534072

Legacy Dialysis Of Fairfax Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Pompano Beach, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Legacy Dialysis Of Fairfax Llc practices in Fairfax, VA. The NPI Number for Legacy Dialysis Of Fairfax Llc is 1427534072 and holds a License No. (Virginia).

The current practice location address for Legacy Dialysis Of Fairfax Llc is 10565 Fairfax Blvd Ste 205, Fairfax, VA and can be reached out via phone at 571-340-3221 and via fax at 571-340-3404. You can also correspond with Legacy Dialysis Of Fairfax Llc through the mailing address at 100 E SAMPLE RD STE 210, POMPANO BEACH, FL - 33064-3554 (mailing address contact number: 954-781-7741).

Location: 10565 Fairfax Blvd Ste 205, Fairfax, VA, 33064-3554
institution
Provider Profile Details
NPI Number
1427534072
Provider Name
Legacy Dialysis Of Fairfax Llc
Credential
Provider Entity Type
Organization
Address
10565 Fairfax Blvd Ste 205, Fairfax, VA, 33064-3554
Phone Number
571-340-3221
Fax Number
571-340-3404
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10565 Fairfax Blvd Ste 205
City
State
Zip
22030-3104
Phone Number
571-340-3221
Fax Number
571-340-3404
person
Provider Business Mailing Address Details
Address
10565 Fairfax Blvd Ste 205
City
State
Zip
22030-3104
Phone Number
571-340-3221
Fax Number
571-340-3404
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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