Organization
RELIANT RENAL CARE - CHELTENHAM LLC
Active
Other names
RRC Cheltenham
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (SENIOR VP AND TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1400 N PROVIDENCE RD, BLDG 2 SUITE 1040, MEDIA, PA 19063
(610) 892-4700
(610) 892-9760
Mailing address
7107 OLD YORK RD, PHILADELPHIA, PA 19126-2114
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
05/22/2018
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