HOME DIALYSIS SERVICES HERSHEY LLC NPI 1003296377

NPI Information

HOME DIALYSIS SERVICES HERSHEY LLC is an end-stage renal disease (esrd) treatment clinic center in Hershey, PA. HOME DIALYSIS SERVICES HERSHEY LLC NPI is 1003296377. The provider is registered as an organization entity type.

The provider's business location address is:

555 E CHOCOLATE AVE
SUITE 102
HERSHEY, PA
ZIP 17033-334
Phone: (717) 500-5177
Fax: (717) 500-5179

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 CLIA number assigned to this NPI record is 39D2116098 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2015 and was last updated on 10/1/2018.

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:

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