Provider Demographics
NPI:1861630345
Name:DIALYSIS CENTERS OF DAYTON LLC
Entity Type:Organization
Organization Name:DIALYSIS CENTERS OF DAYTON LLC
Other - Org Name:HOME HEMODIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SLYBY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:937-208-9865
Mailing Address - Street 1:1431 BUSINESS CENTER CT
Mailing Address - Street 2:HOME HEMODIALYSIS
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410-3300
Mailing Address - Country:US
Mailing Address - Phone:937-254-0083
Mailing Address - Fax:937-254-9312
Practice Address - Street 1:1431 BUSINESS CENTER CT
Practice Address - Street 2:HOME HEMODIALYSIS
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410-3300
Practice Address - Country:US
Practice Address - Phone:937-254-0083
Practice Address - Fax:937-254-9312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment