Jericho Dialysis, LLC

NPI #1194185223 in Hampton, Virginia

Provider Information

NPI Number
1194185223
Entity Type
Organization
Organization Name
Jericho Dialysis, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 2, 2016
Last Updated
Sep 2, 2021

Practice Location

Address
5 W MERCURY BLVD
ZIP Code
23669-2508
Phone
(757) 723-4620

Authorized Official

Name
JOHN D WINSTEL
Title
CHIEF ACCOUNTING OFFICER
Phone
(253) 733-4501

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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