Organization
ADC 1 INC
Active
Other names
ADC 1, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAYES JENKINS RN (CEO)
(301) 577-1007
Entity
Organization
Contact information
Practice address
9106 PINE VIEW LN, CLINTON, MD 20735-3229
(301) 577-1007
(301) 577-1006
Mailing address
9320 ANNAPOLIS RD, SUITE 200, LANHAM, MD 20706-3100
(301) 577-1007
(301) 577-1006
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
—
4220242
—
MD
Enumeration date
03/07/2013
Last updated
01/15/2020
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