Renviva Dialysis Center Of Eastern Panhandle, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Berkeley Springs, WV. Organization (NPI-2).
NPI number1295510071
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1295510071
- Entity type
- Organization (NPI-2)
- Legal business name
- Renviva Dialysis Center Of Eastern Panhandle, LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2023
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
91 Sugar Hollow Rd Ste EBerkeley Springs, WV 25411-7243
Phone 304-944-7004
Mailing address
91 Sugar Hollow Rd Ste EBerkeley Springs, WV 25411-7243
Authorized official
Akinyinka Awosika
Member Manager
3217100352
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