Organization Name: | FRESENIUS MEDICAL CARE SOUTHERN DELAWARE, LLC |
NPI Number: | 1063703841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R. FAWCETT (TREASURER) |
Mailing Address: | 23006 Sussex Hwy Seaford |
State: | DE US |
Postal Code: | 199735866 |
Phone Number: | 3026283152 |
Fax Number: | 3026281589 |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
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: |