Organization
FENTON DIALYSIS LLC
Active
Other names
Harrisburg Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
303 S COMMERCIAL ST STE 15, HARRISBURG, IL 62946-2125
(615) 341-6657
(866) 651-9495
Mailing address
5200 VIRGINIA WAY, ATTN: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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