Organization
RELIANT RENAL CARE - DAVISON, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RRC DAVISON
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VP)
(781) 699-9000
Entity
Organization
Contact information
Practice address
2031 FAIRWAY DR, DAVISON, MI 48423-8305
(810) 654-0138
(810) 653-5309
Mailing address
2031 FAIRWAY DR, DAVISON, MI 48423-8305
(810) 654-0138
(810) 653-5309
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
—
4475834
—
MI
01
—
D8939
BLUE CROSS PRIMARY
MI
01
—
D9499
BLUE CROSS SECONDARY
MI
Enumeration date
09/20/2006
Last updated
10/20/2023
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