Rancho Dialysis LLC

NPI #1225367873 in Dover, Ohio

Provider Information

NPI Number: 1225367873
Entity Type: Organization
Organization Name: Rancho Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 10, 2009
Last Updated: Apr 3, 2025

Practice Location

Address: 899 E IRON AVE
City: Dover
State: Ohio
ZIP Code: 44622-2097
Phone: (330) 364-6309

Authorized Official

Name: SAMUEL T WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

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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