Organization Name: | DIALYSIS CENTERS OF DAYTON, LLC |
NPI Number: | 1083695357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAYME NICOLE HANSEN (CONTROLLER) |
Mailing Address: | 4700 Springboro Pike Moraine |
State: | OH US |
Postal Code: | 454391964 |
Phone Number: | 9374998850 |
Fax Number: | 9372239615 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |