Organization
SKYLAR DIALYSIS, LLC
Active
Other names
Towson Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1220 E JOPPA RD STE 102, TOWSON, MD 21286-5811
(443) 305-7153
Mailing address
5200 VIRGINIA WAY, LICENSURE & CERTIFICATION DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-5875
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
12/01/2022
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