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NPI Code Detail

MEDICARE: DIALYSIS CENTERS OF DAYTON LLC

MEDICARE: DIALYSIS CENTERS OF DAYTON LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1861630345
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIALYSIS CENTERS OF DAYTON LLC
Provider Business Mailing Address
First Line : 1431 BUSINESS CENTER CT
Second Line : HOME HEMODIALYSIS
City : DAYTON
State : OH
Zip : 45410-3300
Country : US
Telephone Number : 937-254-0083
Fax Number : 937-254-9312
Provider Business Practice Location Address
First Line : 1431 BUSINESS CENTER CT
Second Line : HOME HEMODIALYSIS
City : DAYTON
State : OH
Zip : 45410-3300
Country : US
Telephone Number : 937-254-0083
Fax Number : 937-254-9312
Authorized Official
Title or Position : DIRECTOR, CLINICAL OPERATIONS
Name : THERESE ELIZABETH SLYBY
Credential : RN, MS
Telephone Number : 937-208-9865
Provider Enumeration Date : 01/22/2009
Last Update Date : 03/26/2009

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Directions to “DIALYSIS CENTERS OF DAYTON LLC ” Practice Location

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