Organization
GREATER BOONE DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CARPER (ADMINISTRATOR)
(304) 720-2222
Entity
Organization
Contact information
Practice address
300 4TH ST., DANVILLE, WV 25053
(304) 720-3456
Mailing address
24 MCCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1476
(304) 720-2222
(304) 720-2322
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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