Organization
FREEDOM HOME DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEITH DOLAN RN (EXECUTIVE VICE PRESIDENT)
(617) 529-1023
Entity
Organization
Contact information
Practice address
288 KING STREET, COHASSET, MA 02025
(617) 529-1023
Mailing address
288 KING ST, COHASSET, MA 02025-1620
(617) 529-1023
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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