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Canyonlands Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Leesburg, Virginia
NPI 1669631297

Canyonlands 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. Canyonlands Dialysis Llc practices in Leesburg, VA. The NPI Number for Canyonlands Dialysis Llc is 1669631297 and holds a License No. (Virginia).

The current practice location address for Canyonlands Dialysis Llc is 224 Cornwall St Nw, Leesburg, VA and can be reached out via phone at 571-258-1362 and via fax at 571-258-1342. You can also correspond with Canyonlands Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4521).

Location: 224 Cornwall St Nw, Leesburg, VA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669631297
Provider Name
Canyonlands Dialysis Llc
Credential
Provider Entity Type
Organization
Address
224 Cornwall St Nw, Leesburg, VA, 37027-7569
Phone Number
571-258-1362
Fax Number
571-258-1342
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669631297 05 VA
institution
Provider Business Practice Location Address Details
Address
224 Cornwall St Nw
City
Leesburg
State
Virginia
Zip
20176-2701
Phone Number
571-258-1362
Fax Number
571-258-1342
person
Provider Business Mailing Address Details
Address
224 Cornwall St Nw
City
Leesburg
State
Virginia
Zip
20176-2701
Phone Number
571-258-1362
Fax Number
571-258-1342
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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