Organization
COMMUNITY DIALYSIS UNITS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEASON LEGG (BILLING MANAGER)
(330) 649-8066
Entity
Organization
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 580-4001
(330) 580-4595
Mailing address
4685 FULTON DR NW, CANTON, OH 44718-2379
(330) 580-4001
(330) 580-4595
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0667DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401832
—
OH
Enumeration date
06/22/2005
Last updated
08/22/2020
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