NPI:
1407898075
Provider Name:
LIBERTY DIALYSIS-HOPEWELL LLC
Doing Business As: LIBERTY DIALYSIS-HOPEWELL, LLC
Classification:
Clinic/Center - 261QE0700X
Entity Type:
Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 39D1056616
Address:
400 CORPORATION DR
ALIQUIPPA, PA
ZIP 15001
Phone:
(724) 378-6304
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LIBERTY DIALYSIS-HOPEWELL LLC is an end-stage renal disease (esrd) treatment clinic center in Aliquippa, PA. LIBERTY DIALYSIS-HOPEWELL LLC NPI is 1407898075. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis-hopewell, Llc.
The provider's business location address is:
400 CORPORATION DR
ALIQUIPPA, PA
ZIP 15001-863
Phone: (724) 378-6304
Fax: (724) 378-6309
The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.
The CLIA number assigned to this NPI record is 39D1056616 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/11/2006 and was last updated on 10/17/2023.