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Shawano Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Midlothian, Virginia
NPI 1720552110

Shawano 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. Shawano Dialysis, Llc practices in Midlothian, VA. The NPI Number for Shawano Dialysis, Llc is 1720552110 and holds a License No. (Virginia).

The current practice location address for Shawano Dialysis, Llc is 13859 Village Place Dr, Midlothian, VA and can be reached out via phone at 804-378-2170 and via fax at 804-378-2175.

Location: 13859 Village Place Dr, Midlothian, VA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720552110
Provider Name
Shawano Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
13859 Village Place Dr, Midlothian, VA, 37027-7569
Phone Number
804-378-2170
Fax Number
804-378-2175
Provider Enumeration Date
01/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720552110 05 VA
institution
Provider Business Practice Location Address Details
Address
13859 Village Place Dr
City
Midlothian
State
Virginia
Zip
23114-3503
Phone Number
804-378-2170
Fax Number
804-378-2175
person
Provider Business Mailing Address Details
Address
13859 Village Place Dr
City
Midlothian
State
Virginia
Zip
23114-3503
Phone Number
804-378-2170
Fax Number
804-378-2175
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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