Organization
SWAN DIALYSIS SERVICES, LLC
Active
Other names
Swan Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SWANN (PRESIDENT)
(702) 396-0220
Entity
Organization
Contact information
Practice address
6021 W CHEYENNE AVE, LAS VEGAS, NV 89108-4205
(702) 396-0220
(702) 396-8640
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2006
Last updated
08/22/2020
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