Organization
OHIO RIVER DIALYSIS LLC
Active
Organization
OHIO RIVER DIALYSIS LLC
Active
Other names
Crestview Hills At Home
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (SR VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
400 CENTRE VIEW BLVD, SUITE A, CRESTVIEW HILLS, KY 41017-3478
(859) 341-1123
(859) 341-1126
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 341-6384
(303) 209-7942
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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