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Organization

RELIANT RENAL CARE - EPHRATA,LLC

Active
Parent organization
RELIANT RENAL CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
RELIANT RENAL CARE
Authorized official
MARIANNE KILROY KILROY (DIRECTOR OF REIMBURSEMENT)
(610) 744-2040
Entity
Organization

Contact information

Practice address
804 GRANDVIEW DR, SUITE 2, EPHRATA, PA 17522-1681
(610) 744-2040
Mailing address
1400 N PROVIDENCE RD, BLD 2 SUITE 1040, MEDIA, PA 19063-2043

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
11/10/2016
Last updated
11/10/2016
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