Roushe Dialysis LLC

NPI #1376984443 in Mishawaka, Indiana

Provider Information

NPI Number
1376984443
Entity Type
Organization
Organization Name
Roushe Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 17, 2013
Last Updated
May 23, 2024

Practice Location

Address
1420 TRINITY PL
State
Indiana
ZIP Code
46545-5005
Phone
(574) 231-7204

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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