Organization
SANDUSKY DIALYSIS LLC
Active
Other names
Sandusky Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
211 LAKESIDE PARK, SANDUSKY, OH 44870-8639
(419) 626-3809
(419) 626-5107
Mailing address
5200 VIRGINIA WAY, ATT: L& C DEPT, BRENTWOOD, TN 37027-7569
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
—
2908223
—
OH
Enumeration date
02/28/2008
Last updated
11/15/2024
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