Organization
EXPRESS HOME & RENAL HEALTHCARE, LLC.
Active
Other names
EXPRESS HOME & RENAL HEALTHCARE, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON M M FON CPA (CEO/ADMINISTRATOR)
(301) 704-2667
Entity
Organization
Contact information
Practice address
10400 CONNECTICUT AVE STE 602, KENSINGTON, MD 20895-3909
(301) 825-5900
(301) 825-5888
Mailing address
10400 CONNECTICUT AVE STE 602, KENSINGTON, MD 20895-3909
(301) 825-5900
(301) 825-5888
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5587216200
—
MD
Enumeration date
06/19/2023
Last updated
06/19/2023
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