STINES DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Virginia Beach, VA. STINES DIALYSIS LLC NPI is 1609110758. The provider is registered as an organization entity type.
The provider Is Doing Business As Tidewater Home Dialysis.
The provider's business location address is:
230 CLEARFIELD AVE
STE 106
VIRGINIA BEACH, VA
ZIP 23462-832
Phone: (757) 518-9439
Fax: (757) 519-9519
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 49D2051886 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/15/2012 and was last updated on 12/28/2020.