Organization
COMMUNITY DIALYSIS CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GREEN RD CDE CSR LDN (OPERATIONS COORDINATOR)
(410) 277-9101
Entity
Organization
Contact information
Practice address
2707 N ROLLING RD, SUITE 104, WINDSOR MILL, MD 21244-2157
(410) 277-9101
(410) 277-9001
Mailing address
2707 N ROLLING RD, SUITE 104, WINDSOR MILL, MD 21244-2157
(410) 277-9101
(410) 277-9001
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
—
404136400
—
MD
Enumeration date
06/12/2006
Last updated
07/14/2010
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