Ultimate Renal Care, LLC
NPI #1134212970 in Hyattsville, Maryland
Provider Information
- NPI Number
- 1134212970
- Entity Type
- Organization
- Organization Name
- Ultimate Renal Care, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 16, 2007
Practice Location
- Address
- 2426 CHILLUM RD
- City
- Hyattsville
- State
- Maryland
- ZIP Code
- 20782-3629
- Phone
- (301) 927-8808
Authorized Official
- Name
- MR. JUAN GUMABON CANLAS
- Title
- ADMINISTRATOR
- Phone
- (301) 927-8808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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