Organization
ADVANCED DIALYSIS CENTER, LLC
Active
Organization
ADVANCED DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI JENKINS RN (CEO)
(301) 577-1007
Entity
Organization
Contact information
Practice address
9320 ANNAPOLIS RD, SUITE 200, LANHAM, MD 20706-3100
(301) 577-1007
(301) 577-1006
Mailing address
700 TOLL HOUSE AVE, FREDERICK, MD 21701-4575
(301) 577-1007
(301) 577-1006
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/08/2007
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