Organization
SOMATUS DIALYSIS OF FALLS CHURCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA PALMER (AUTHORIZED OFFICIAL)
(202) 236-7061
Entity
Organization
Contact information
Practice address
500 N WASHINGTON ST STE 100, FALLS CHURCH, VA 22046-3514
(703) 382-8361
(703) 852-7437
Mailing address
1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
(571) 992-0600
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
12/26/2023
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