Organization
ROOSEVELT DIALYSIS LLC
Active
Other names
Lexington Renal Care
Organization subpart
No
Provider details
NPI number
Authorized official
MINDEE POSEN (MEDICARE ADMINISTRATION OFFICER)
(845) 825-2217
Entity
Organization
Contact information
Practice address
7800 BUSTLETON AVE, PHILADELPHIA, PA 19152-3812
(215) 722-2300
Mailing address
1608 ROUTE 88 STE 301, BRICK, NJ 08724-3009
(215) 722-2300
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
11/01/2023
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