Organization
RENAL LIFE LINK INC
Active
Other names
Nelsonville Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1950 MOUNT SAINT MARYS DR, NELSONVILLE, OH 45764-1280
(740) 753-2398
(740) 753-2495
Mailing address
5200 VIRGINIA WAY, STE. 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639390
—
OH
Enumeration date
04/20/2006
Last updated
08/16/2007
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