Organization
HOME DIALYSIS OF MARYLAND LLC
Active
Organization
HOME DIALYSIS OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON WAITE (MANAGING MEMBER)
(410) 458-5854
Entity
Organization
Contact information
Practice address
1531 S EDGEWOOD ST, SUITE 302, HALETHORPE, MD 21227-1066
(410) 458-5854
Mailing address
1531 S EDGEWOOD ST, SUITE 302, HALETHORPE, MD 21227-1066
(410) 458-5854
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
08/08/2014
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