Organization
PLATEAU DIALYSIS LLC
Active
Other names
Little Creek Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 272-1916
Entity
Organization
Contact information
Practice address
1817 E LITTLE CREEK RD, STE B, NORFOLK, VA 23518-4203
(757) 587-9156
(757) 587-9720
Mailing address
5200 VIRGINIA WAY, L&C DEPT-STE400, BRENTWOOD, TN 37027-7569
(615) 341-6789
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/15/2012
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