Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Sandusky Dialysis
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
795 BARDSHAR RD, SANDUSKY, OH 44870-1505
(419) 609-1847
(419) 609-1867
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0841DC
OH
Other
Enumeration date
09/27/2006
Last updated
02/20/2008
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