CANNON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in York, PA. CANNON DIALYSIS LLC NPI is 1881170504. The provider is registered as an organization entity type.
The provider Is Doing Business As Roosevelt Avenue Dialysis.
The provider's business location address is:
1695 ROOSEVELT AVE
STE A
YORK, PA
ZIP 17408-521
Phone: (717) 767-0189
Fax: (717) 767-0194
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 39D2156471 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/16/2018 and was last updated on 3/31/2021.