| Organization Name: | DCA OF VINELAND LLC |
| NPI Number: | 1033172457 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY) |
| Mailing Address: | 1450 E Chestnut Ave Bldg 2 Suite C Vineland |
| State: | NJ US |
| Postal Code: | 083618467 |
| Phone Number: | 8566929060 |
| Fax Number: | 8566929098 |
| NPI Enumeration Date: | 04/07/2006 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |