Organization
DIALYSIS CARE CENTER OOLTEWAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU OLATUNJI ALAUSA M.D. (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
6085 ARBURY WAY, OOLTEWAH, TN 37363-5001
(423) 910-0651
(423) 910-1052
Mailing address
PO BOX 428, LOCKPORT, IL 60441-6428
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
05/05/2026
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