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Reliant Renal Care - Ephrata,llc

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Ephrata, PA. Organization (NPI-2).

NPI number1982146767
StatusActive
Last updated in NPPESNov 10, 2016

Details

NPI
1982146767
Entity type
Organization (NPI-2)
Legal business name
Reliant Renal Care - Ephrata,llc
Organization subpart
Yes
Enumeration date
Nov 10, 2016
Last updated
Nov 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Practice location

804 Grandview Dr
Suite 2
Ephrata, PA 17522-1681

Phone 610-744-2040

Mailing address

1400 N Providence Rd
Bld 2 Suite 1040
Media, PA 19063-2043

Authorized official

Marianne Kilroy Kilroy
Director Of Reimbursement
6107442040

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