Cvs-Shc Kidney Care Home Dialysis of Philadelphia LLC
NPI #1699417824 in Folsom, Pennsylvania
Provider Information
- NPI Number
- 1699417824
- Entity Type
- Organization
- Organization Name
- Cvs-Shc Kidney Care Home Dialysis of Philadelphia LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 8, 2022
- Last Updated
- Apr 8, 2022
Practice Location
- Address
- 1939 MACDADE BOULEVARD
- City
- Folsom
- State
- Pennsylvania
- ZIP Code
- 19033-1214
- Phone
- (610) 616-5555
Authorized Official
- Name
- BERNADETTE VINCENT
- Title
- PRESIDENT/COO
- Phone
- (669) 266-6359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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