MY FATHER'S HOUSE DIALYSIS CARE FACILITYLLC NPI 1144467747

NPI Information

NPI: 1144467747
Provider Name: MY FATHER'S HOUSE DIALYSIS CARE FACILITY,LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1200 30TH ST NW
CANTON, OH
ZIP 44709
Phone: (330) 309-2605
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MY FATHER'S HOUSE DIALYSIS CARE FACILITY,LLC is an end-stage renal disease (esrd) treatment clinic center in Canton, OH. MY FATHER'S HOUSE DIALYSIS CARE FACILITY,LLC NPI is 1144467747. The provider is registered as an organization entity type.

The provider's business location address is:

1200 30TH ST NW
CANTON, OH
ZIP 44709-923
Phone: (330) 309-2605

The provider's authorized official is Arnice Llewellyn .
The authorized official title is President and has the following contact phone number (330) 309-2605.

The enumeration date for this NPI number is 1/19/2009 and was last updated on 1/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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