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Fresh Start Dialysis Spa Treatment Center
Clinic/Center in Largo, Maryland
NPI 1821220138

Fresh Start Dialysis Spa Treatment Center is a Clinic/Center based in Bowie, MD. Fresh Start Dialysis Spa Treatment Center practices in Largo, MD. The NPI Number for Fresh Start Dialysis Spa Treatment Center is 1821220138 and holds a License No. (Maryland).

The current practice location address for Fresh Start Dialysis Spa Treatment Center is 1101 Mercantile Ln, Largo, MD and can be reached out via phone at 240-606-7828.

Location: 1101 Mercantile Ln, Largo, MD, 20721-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821220138
Provider Name
Fresh Start Dialysis Spa Treatment Center
Credential
Provider Entity Type
Organization
Address
1101 Mercantile Ln, Largo, MD, 20721-1803
Phone Number
240-606-7828
Fax Number
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 Mercantile Ln
City
Largo
State
Maryland
Zip
20774-5360
Phone Number
240-606-7828
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Mercantile Ln
City
Largo
State
Maryland
Zip
20774-5360
Phone Number
240-606-7828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
()
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
person
Provider's Taxonomy Details 5
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 6
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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