VISTACARE CONTINUUM SERVICES LLC NPI 1518477199

NPI Information

VISTACARE CONTINUUM SERVICES, LLC is an end-stage renal disease (esrd) treatment clinic center in Newark, NJ. VISTACARE CONTINUUM SERVICES, LLC NPI is 1518477199. The provider is registered as an organization entity type.
The provider Is Doing Business As Vistacare Dialysis Center.

The provider's business location address is:

300 BROADWAY
NEWARK, NJ
ZIP 07104-000
Phone: (973) 484-4222

The provider's authorized official is Boruch Kleinman .
The authorized official title is Mbr and has the following contact phone number (973) 484-4222.

The CLIA number assigned to this NPI record is 31D2208390 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.

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:

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