# APEX DIALYSIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902564107
- **Authorized official:** MRS. PHYLLIS AGOVI BANAHENE RN (OWNER)
- **Authorized official phone:** (302) 668-9851

## Contact information

- **Practice address:** 34 WATSON LN, MIDDLETOWN, DE 19709-9389
- **Practice address phone:** (302) 668-9851
- **Mailing address:** 34 WATSON LN, MIDDLETOWN, DE 19709-9389
- **Mailing address phone:** (302) 668-9851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0500X | Hemodialysis Registered Nurse | — | NULL | Yes |
| 163WH0500X | Hemodialysis Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2021
- **Last updated:** 12/04/2021