Organization
HOME DIALYSIS SERVICES SOUTHERN MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU ALAUSA (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
40900 MERCHANTS LN, 207, LEONARDTOWN, MD 20650-3795
(815) 741-6830
(815) 741-6830
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/15/2017
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