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
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Renal Nutrition Registered Dietitian | 133VN1005X | None listed |
| Driver | 172A00000X | None listed |
| Massage Therapist | 225700000X | None listed |
| Clinic/Center Primary | 261Q00000X | None 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
Other clinic/center providers in Largo
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.