Provider First Line Business Practice Location Address:
1520 FREEDOM BLVD
Provider Second Line Business Practice Location Address:
FLORENCE HOME DIALYSIS UNIT - CKD SERVICES
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29505-6040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-292-8440
Provider Business Practice Location Address Fax Number:
843-292-9489
Provider Enumeration Date:
05/26/2006