Organization
DAYTON REGIONAL DIALYSIS SOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L SOBECKI (CEO)
(937) 438-0099
Entity
Organization
Contact information
Practice address
7700 WASHINGTON VILLAGE DR, SUITE 100, DAYTON, OH 45459
(937) 438-9595
(937) 438-0009
Mailing address
7700 WASHINGTON VILLAGE DR, SUITE 220, DAYTON, OH 45459
(937) 438-9595
(937) 438-0009
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0014DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925539
—
OH
Enumeration date
02/14/2006
Last updated
10/03/2007
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