Organization
NEW DIRECTION HOME DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A WHILES (FACILITY ADMINISTRATOR)
(405) 767-6740
Entity
Organization
Contact information
Practice address
4334 NW EXPRESSWAY, SUITE 165, OKLAHOMA CITY, OK 73116-1515
(405) 767-6740
(405) 767-6741
Mailing address
4334 NW EXPRESSWAY, SUITE 165, OKLAHOMA CITY, OK 73116-1515
(405) 767-6740
(405) 767-6741
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
04/12/2013
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