Organization
KIDNEY CENTER HOME THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER A AMEDIA JR. MD, FACP (MANAGING PARTNER)
(330) 781-6212
Entity
Organization
Contact information
Practice address
1201 GRAMPIAN BLVD STE 1B, WILLIAMSPORT, PA 17701-1965
(570) 478-5228
(570) 601-4020
Mailing address
4822 MARKET ST STE 100, BOARDMAN, OH 44512-2122
(330) 781-6212
(330) 953-2041
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
10/14/2022
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