Organization
COMMUNITY DIALYSIS CENTER
Active
Other names
Center for Dialysis Care, Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE A NEMECEK (COO)
(216) 658-0458
Entity
Organization
Contact information
Practice address
8900 TYLER BLVD, MENTOR, OH 44060-2185
(440) 951-3602
(440) 255-7581
Mailing address
18720 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44122-4855
(216) 295-7003
(216) 295-7014
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0639DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431803
—
OH
Enumeration date
10/06/2006
Last updated
03/03/2025
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