HOME DIALYSIS SERVICES SOUTHERN MARYLAND LLC NPI 1770930950

NPI Information

NPI: 1770930950
Provider Name: HOME DIALYSIS SERVICES SOUTHERN MARYLAND LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
40900 MERCHANTS LN
207
LEONARDTOWN, MD
ZIP 20650
Phone: (815) 741-6830
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HOME DIALYSIS SERVICES SOUTHERN MARYLAND LLC is an end-stage renal disease (esrd) treatment clinic center in Leonardtown, MD. HOME DIALYSIS SERVICES SOUTHERN MARYLAND LLC NPI is 1770930950. The provider is registered as an organization entity type.

The provider's business location address is:

40900 MERCHANTS LN
207
LEONARDTOWN, MD
ZIP 20650-795
Phone: (815) 741-6830
Fax: (815) 741-6830

The provider's authorized official is Morufu Alausa .
The authorized official title is Medical Director and has the following contact phone number (815) 741-6830.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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