My Father's House Dialysis Care Facility,llc

NPI #1144467747 in Canton, Ohio

Provider Information

NPI Number: 1144467747
Entity Type: Organization
Organization Name: My Father's House Dialysis Care Facility,llc
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jan 19, 2009
Last Updated: Jan 19, 2009

Practice Location

Address: 1200 30TH ST NW
City: Canton
State: Ohio
ZIP Code: 44709-2923
Phone: (330) 309-2605

Authorized Official

Name: MRS. ARNICE LLEWELLYN, RN
Title: PRESIDENT
Phone: (330) 309-2605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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