DVA Healthcare of Maryland LLC
DVA Healthcare of Maryland LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Clinton, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10401 Hospital Dr Ste G2Clinton, MD 20735-3113
Phone: (301) 856-6550
Fax: (301) 856-5693
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X · Licence E2564 (MD) |
|---|
Record details
| NPI number | 1568422459 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | Lakeside Dialysis; Lakeside Dialysis |
| NPI enumerated | March 24, 2006 |
| Last updated in NPPES | April 20, 2021 |
| Certification date | April 20, 2021 |
| Mailing address | 5200 Virginia Way, L&C Department, Brentwood, TN 37027-7569 |
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