Organization · Type 2 NPI

Fresh Start Dialysis Spa Treatment Center

Clinic/Center · Largo, MD

NPI number 1821220138 Active

Practice location

1101 Mercantile Ln
Largo, MD 20774-5360

Mailing address

719 Streamside Dr
Bowie, MD 20721-1803

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Nutrition Education Nutritionist 133NN1002XNone listed
Renal Nutrition Registered Dietitian 133VN1005XNone listed
Driver 172A00000XNone listed
Massage Therapist 225700000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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About NPI 1821220138

Fresh Start Dialysis Spa Treatment Center's National Provider Identifier is 1821220138, issued on Aug 20, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Largo, MD. The record was last updated on Aug 20, 2009.