Organization
OPTIMAL DIALYSIS
Active
Organization
OPTIMAL DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE A DUPREE RN (MANAGING PARTNER)
(317) 777-0224
Entity
Organization
Contact information
Practice address
8315 E 56TH ST STE 120, INDIANAPOLIS, IN 46216-1078
(317) 777-0224
Mailing address
8315 E 56TH ST STE 120, INDIANAPOLIS, IN 46216-1078
(317) 777-0224
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
02/26/2021
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