Organization
RCG INDIANA, L.L.C.
Active
Other names
RCG DEFIANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
1850 E 2ND ST, SUITES 1846 AND 1850, DEFIANCE, OH 43512-2502
(419) 782-9090
Mailing address
1850 E 2ND ST, SUITES 1846 AND 1850, DEFIANCE, OH 43512-2502
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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