Organization
KIDNEY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH GARG (PRESIDENT)
(302) 355-2383
Entity
Organization
Contact information
Practice address
101 BECKS WOODS DR, SUITE 102, BEAR, DE 19701-3854
(302) 355-2383
Mailing address
2006 LIMESTONE RD, SUITE 7, WILMINGTON, DE 19808-5553
(302) 355-2383
(302) 351-6261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
DE
Other
Enumeration date
07/18/2012
Last updated
04/24/2013
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