Organization Name: | LIMON DIALYSIS LLC |
NPI Number: | 1558511733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM K HILGER (CHIEF ACCOUNTING OFFICER) |
Mailing Address: | 5701 Silver Hill Rd District Heights |
State: | MD US |
Postal Code: | 207471102 |
Phone Number: | 3018170010 |
Fax Number: | 3018170019 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | E2657 |
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: |