Fresh Start Dialysis Spa Treatment Center

LBN: Fresh Start Dialysis Spa Treatment Center
Fresh Start Dialysis Spa Treatment Center is an health care organization with primary practice located at 1101 Mercantile Ln , Largo MD 20774-5360. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Renal, Other Service Providers / Driver, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Fresh Start Dialysis Spa Treatment Center can be contacted via phone (240) 606-7828, or through Brooks, Tahisha B. via phone (240) 606-7828.

Contact Information

Primary practice address
1101 Mercantile Ln Largo MD 20774-5360
Phone: (240) 606-7828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Tahisha B.
Phone: (240) 606-7828

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Other Service Providers / Driver 172A00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1821220138
LBN Legal business name Fresh Start Dialysis Spa Treatment Center
DBA Doing business as
Authorized official Brooks, Tahisha B.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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