OHIO RENAL CARE GROUP LLC NPI 1679821359

NPI Information

OHIO RENAL CARE GROUP, LLC is an end-stage renal disease (esrd) treatment clinic center in Mentor, OH. OHIO RENAL CARE GROUP, LLC NPI is 1679821359. The provider is registered as an organization entity type.
The provider Is Doing Business As Ohio Renal Care Group Mentor Dialysis.

The provider's business location address is:

8840 TYLER BLVD
MENTOR, OH
ZIP 44060-361
Phone: (440) 974-3459
Fax: (440) 974-3561

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 36D2047724 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 10/18/2023.

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:

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