Organization
TOTAL RENAL CARE INC
Active
Other names
Home Dialysis of Dayton South
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3030 S DIXIE DR, KETTERING, OH 45409-1516
(937) 296-1171
(937) 296-1476
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
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
—
3159415
—
OH
Enumeration date
01/05/2011
Last updated
09/30/2020
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