Organization
ST. MARINA HOME DIALYSIS LLC
Active
Other names
Saint Marina Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KINAYA (ADMINISTRATOR)
(248) 535-5685
Entity
Organization
Contact information
Practice address
30800 TELEGRAPH RD STE 3700, BINGHAM FARMS, MI 48025-4583
(248) 535-5685
Mailing address
30800 TELEGRAPH RD STE 3700, BINGHAM FARMS, MI 48025-4583
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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