Organization
MIDTOWN HOME DIALYSIS LLC
Active
Organization
MIDTOWN HOME DIALYSIS LLC
Active
Other names
New Direction Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A WHILES (MANAGER MEMBER)
(580) 695-1306
Entity
Organization
Contact information
Practice address
3727 NW 63RD ST STE 320, OKLAHOMA CITY, OK 73116-1931
(405) 286-0391
(405) 767-6741
Mailing address
3727 NW 63RD ST STE 320, OKLAHOMA CITY, OK 73116-1931
(405) 286-0391
(405) 767-6741
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
09/02/2025
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