| Organization Name: | RENAL CARE OF SEAT PLEASANT LLC |
| NPI Number: | 1417982075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Mailing Address: | 6274 Central Ave Seat Pleasant |
| State: | MD US |
| Postal Code: | 207436128 |
| Phone Number: | 3013366274 |
| Fax Number: | 3013363946 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | E2640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |