Manzano Dialysis LLC

NPI #1306162581 in Fairborn, Ohio

Provider Information

NPI Number
1306162581
Entity Type
Organization
Organization Name
Manzano Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 14, 2010
Last Updated
Oct 1, 2025

Practice Location

Address
1266 N BROAD ST
State
Ohio
ZIP Code
45324-5549
Phone
(937) 879-0433

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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