Desoto Dialysis LLC

NPI #1285916106 in Oregon, Ohio

Provider Information

NPI Number
1285916106
Entity Type
Organization
Organization Name
Desoto Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 16, 2011
Last Updated
Mar 29, 2024

Practice Location

Address
2702 NAVARRE AVE
Address 2
STE 203
City
Oregon
State
Ohio
ZIP Code
43616-3224
Phone
(419) 691-1514

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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