Liberty Dialysis Petersburg, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Petersburg, VA. Organization (NPI-2).
NPI number1790798379
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1790798379
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Dialysis Petersburg, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 14, 2006
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Liberty Dialysis Petersburg LLC (Doing Business As)
Practice location
3400 S Crater RdPetersburg, VA 23805-9252
Phone 804-732-8228 · Fax 804-732-8288
Mailing address
3400 S Crater RdPetersburg, VA 23805-9252
Phone 804-732-8228 · Fax 804-732-8288
Authorized official
Denise Wright
Vice President
7816765200
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