| Fresh Start Dialysis Spa Treatment Center | |
|
1101 Mercantile Ln Largo MD 20774-5360 | |
| (240) 606-7828 | |
| Not Available |
| Full Name | Fresh Start Dialysis Spa Treatment Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1101 Mercantile Ln, Largo, Maryland |
| Authorized Official Name and Position | Tahisha B. Brooks (PRESIDENT & CEO) |
| Authorized Official Contact | 2406067828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Dialysis Spa Treatment Center 719 Streamside Dr Bowie MD 20721-1803 Ph: (240) 606-7828 | Fresh Start Dialysis Spa Treatment Center 1101 Mercantile Ln Largo MD 20774-5360 Ph: (240) 606-7828 |
| NPI Number | 1821220138 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821220138 | NPI | - | NPPES |
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