Organization
LOGAN DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER T FORD (CHAIRMAN)
(978) 922-3080
Entity
Organization
Contact information
Practice address
12900 STATE ROUTE 664 S, LOGAN, OH 43138-9261
(740) 385-6300
(740) 385-8400
Mailing address
66 CHERRY HILL DR, SUITE 200, BEVERLY, MA 01915-1054
(978) 922-3080
(978) 922-3085
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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