institution
Randolph Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Wayne, Indiana
NPI 1659796233

Randolph Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Randolph Dialysis Llc practices in Fort Wayne, IN. The NPI Number for Randolph Dialysis Llc is 1659796233 and holds a License No. (Indiana).

The current practice location address for Randolph Dialysis Llc is 6721 Old Trail Rd, Fort Wayne, IN and can be reached out via phone at 260-478-8582 and via fax at 260-478-8566.

Location: 6721 Old Trail Rd, Fort Wayne, IN, 37027-7569
institution
Provider Profile Details
NPI Number
1659796233
Provider Name
Randolph Dialysis Llc
Credential
Provider Entity Type
Organization
Address
6721 Old Trail Rd, Fort Wayne, IN, 37027-7569
Phone Number
260-478-8582
Fax Number
260-478-8566
Provider Enumeration Date
02/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300009689A 05 IN
institution
Provider Business Practice Location Address Details
Address
6721 Old Trail Rd
City
State
Zip
46809-2655
Phone Number
260-478-8582
Fax Number
260-478-8566
person
Provider Business Mailing Address Details
Address
6721 Old Trail Rd
City
State
Zip
46809-2655
Phone Number
260-478-8582
Fax Number
260-478-8566
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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