Organization
MARBELL DIALYSIS LLC
Active
Parent organization
DAVITA INC
Other names
Southfield Home Training
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4506
Entity
Organization
Contact information
Practice address
24647 GREENFIELD RD, SOUTHFIELD, MI 48075-3058
(947) 941-5473
(947) 941-5492
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
10/15/2021
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