Organization
ADVENTIST SENIOR LIVING SERVICES
Active
Other names
Adventist Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A MARIZAN (DIRECTOR, CENTRAL BUSINESS OFFICE)
(301) 315-3272
Entity
Organization
Contact information
Practice address
12325 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2957
(301) 622-4200
Mailing address
12325 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2957
(301) 622-4200
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408123400
—
MD
Enumeration date
02/23/2007
Last updated
03/15/2010
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