Organization Name: | USRC CUYAHOGA FALLS, LLC |
NPI Number: | 1093104184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS L. WEINBERG (AUTHORIZED REPRESENTATIVE) |
Mailing Address: | 421 Portage Trl Ste B Cuyahoga Falls |
State: | OH US |
Postal Code: | 442213227 |
Phone Number: | 3309287970 |
Fax Number: | 3309287680 |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 06/29/2015 |
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: |