Organization
OKC HOMEDIALYSIS LLC
Active
Other names
OKC Homedialysis llc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE A WHILES ADMINISTRATOR (FA)
(580) 695-1306
Entity
Organization
Contact information
Practice address
4001 N CLASSEN BLVD STE 105, OKLAHOMA CITY, OK 73118-2668
(580) 695-1306
(405) 217-0010
Mailing address
3727 NW 63RD ST STE 300, OKLAHOMA CITY, OK 73116-1923
(405) 286-0576
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
01/28/2025
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