Wellbound Of Lafayette Llc in San Jose - End-stage Renal Disease (esrd) Treatment
Wellbound Of Lafayette Llc - NPI 1972520997
Wellbound Of Lafayette Llc is a End-stage Renal Disease (esrd) Treatment in San Jose, California. Wellbound Of Lafayette Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Wellbound Of Lafayette Llc is 1972520997. The last update date is 2016-12-29.
Wellbound Of Lafayette Llc's current location address is 300 Santana Row, San Jose, California. You can contact this provider via phone number 7654461627 and fax number 6506256007. The mailing address for Wellbound Of Lafayette Llc is 300 Santana Row, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellbound Of Lafayette Llc |
|---|---|
| Address | 300 Santana Row, San Jose, California |
| Phone Number | 7654461627 |
| Fax Number | 6506256007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY/ |
|---|---|
| Authorized Official Name | Del Bene L Susan |
| Telephone Number | 6504043618 |
NPI Number Detail
| NPI Number | 1972520997 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2016-12-29 |
Provider Mailing Address Detail
| Address | 300 Santana Row |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282423 |
| Phone Number | 7654461627 |
| Fax Number | 6506256007 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200843920A | IN | -- |
Post Comment/ Review Below
What is the Wellbound Of Lafayette Llc's 1972520997?
The Wellbound Of Lafayette Llc's NPI (National Provider Identifier) Number is 1972520997. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wellbound Of Lafayette Llc is located?
The Wellbound Of Lafayette Llc is situated at the following address: 300 Santana Row, San Jose, CA, 951282423.
What is the Wellbound Of Lafayette Llc's specialty and taxonomy code?
The Wellbound Of Lafayette Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Wellbound Of Lafayette Llc receive the assignment of its 1972520997 from the Centers for Medicare & Medicaid Services?
The Wellbound Of Lafayette Llc was issued its 1972520997 by the Centers for Medicare & Medicaid Services on 2006-07-16.
As of what date were the details pertaining to Wellbound Of Lafayette Llc last refreshed?
The information related to the Wellbound Of Lafayette Llc, including its address, specialty, and other relevant details, was last updated on 2016-12-29.