Organization
BRAIDWOOD DIALYSIS LLC
Active
Other names
Kidney HOME Downtown
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
200 SAINT PAUL PL, SUITE 5, BALTIMORE, MD 21202-2004
(410) 244-5638
(410) 244-6405
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4230
(866) 376-5823
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
09/22/2014
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