Organization
LIBERTY DIALYSIS-LEBANON LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS-LEBANON LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
2485 N LEBANON ST, LEBANON, IN 46052-1186
(765) 485-0533
(765) 485-0537
Mailing address
2485 N LEBANON ST, LEBANON, IN 46052-1186
(765) 485-0533
(765) 485-0537
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
—
200387680A
—
IN
Enumeration date
01/23/2007
Last updated
10/17/2023
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