Organization Name: | FRESENIUS MEDICAL CARE SOUTHERN DELAWARE, LLC |
NPI Number: | 1174815633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R. FAWCETT (TREASURER) |
Mailing Address: | 30164 Commerce Dr Peninsula Crossing Millsboro |
State: | DE US |
Postal Code: | 199663585 |
Phone Number: | 3029346342 |
Fax Number: | 3029346351 |
NPI Enumeration Date: | 05/03/2011 |
NPI Last Update Date: | 05/03/2011 |
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: |