Organization
PROFESSIONAL PICC SERVICES LLC
Active
Other names
Professional Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A. DAVIS (VICE PRESIDENT)
(330) 637-1940
Entity
Organization
Contact information
Practice address
115 WOODVIEW DR, CORTLAND, OH 44410-1247
(330) 637-1940
(440) 259-1055
Mailing address
115 WOODVIEW DR, CORTLAND, OH 44410-1247
(330) 637-1940
(440) 259-1055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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