Waterford Dialysis LLC

NPI #1497481360 in Kokomo, Indiana

Provider Information

NPI Number
1497481360
Entity Type
Organization
Organization Name
Waterford Dialysis LLC
Subpart
Yes (part of a larger organization)
Parent Organization
TRILOGY DIALYSIS LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 25, 2022
Last Updated
Jul 25, 2022

Practice Location

Address
800 ST. JOSEPH DRIVE
Address 2
DIALYSIS CLINIC
City
Kokomo
State
Indiana
ZIP Code
46901-1983
Phone
(765) 236-1239

Authorized Official

Name
CRISTINA PIETROWSKI
Title
SVP & CHIEF LEGAL OFFICER
Phone
(502) 412-5847

Specialties & Taxonomy Codes

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

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