Organization
LANDSFORD DIALYSIS LLC
Active
Other names
Princess Anne Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFF)
(253) 733-4500
Entity
Organization
Contact information
Practice address
3973 HOLLAND RD, VIRGINIA BEACH, VA 23452-2804
(615) 341-5875
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-5875
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790111789
—
VA
Enumeration date
09/23/2013
Last updated
10/13/2014
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