WALLIS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Ravenna, OH. WALLIS DIALYSIS LLC NPI is 1902270721. The provider is registered as an organization entity type.
The provider Is Doing Business As Ravenna Dialysis.
The provider's business location address is:
600 ENTERPRISE PARKWAY
RAVENNA, OH
ZIP 44266-001
Phone: (615) 341-6793
Fax: (866) 409-3229
The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.
The CLIA number assigned to this NPI record is 36D2105645 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.