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Manzano Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairborn, Ohio
NPI 1306162581

Manzano Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OH and is specialized in End-Stage Renal Disease (ESRD) Treatment. Manzano Dialysis Llc practices in Fairborn, OH. The NPI Number for Manzano Dialysis Llc is 1306162581 and holds a License No. (Ohio).

The current practice location address for Manzano Dialysis Llc is 1266 N Broad St, Fairborn, OH and can be reached out via phone at 937-879-0433 and via fax at 937-879-0589.

Location: 1266 N Broad St, Fairborn, OH, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306162581
Provider Name
Manzano Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1266 N Broad St, Fairborn, OH, 37027-7569
Phone Number
937-879-0433
Fax Number
937-879-0589
Provider Enumeration Date
04/14/2010
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3071027 05 OH
institution
Provider Business Practice Location Address Details
Address
1266 N Broad St
City
Fairborn
State
Ohio
Zip
45324-5549
Phone Number
937-879-0433
Fax Number
937-879-0589
person
Provider Business Mailing Address Details
Address
1266 N Broad St
City
Fairborn
State
Ohio
Zip
45324-5549
Phone Number
937-879-0433
Fax Number
937-879-0589
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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