LEGACY DIALYSIS OF FAIRFAX LLC

FAIRFAX, VA
NPI1427534072
Entity TypeOrganization
Authorized ContactMYRLENE BARRERA
Director
305-778-8277
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2018-07-17
Last Update Date2020-04-15
Business Address
LEGACY DIALYSIS OF FAIRFAX LLC
10565 FAIRFAX BLVD STE 205
FAIRFAX, VA 22030-3104
Phone number: 571-340-3221
Mailing Address
LEGACY DIALYSIS OF FAIRFAX LLC
100 E SAMPLE RD STE 210
POMPANO BEACH, FL 33064-3554
Phone number: 954-781-7741