Organization Name: | DAYTON REGIONAL DIALYSIS INC |
NPI Number: | 1063486314 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL L SOBECKI (CEO) |
Mailing Address: | 7211 Shull Rd Huber Heights |
State: | OH US |
Postal Code: | 454241234 |
Phone Number: | 9372372000 |
Fax Number: | 9372375630 |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 0422DC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |