Organization · Type 2 NPI

Okc Homedialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Oklahoma City, OK

NPI number 1902473945 Active

Practice location

4001 N Classen Blvd Ste 105
Oklahoma City, OK 73118-2668

Call (580) 695-1306 Map

Fax (405) 217-0010

Mailing address

3727 NW 63rd St Ste 300
Oklahoma City, OK 73116-1923

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

3 other providers at this address

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NPI record

NPI: 1902473945
Entity type: Organization (Type 2)
Issued: Jun 8, 2021
Last updated: Jan 28, 2025
Status: Active

Other names

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Okc Homedialysis LLC · doing business as
Okc Homedialysis LLC · doing business as

Authorized official

Mrs. Leslie A Whiles, ADMINISTRATOR
Fa
(580) 695-1306

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About NPI 1902473945

Okc Homedialysis LLC's National Provider Identifier is 1902473945, issued on Jun 8, 2021. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 28, 2025.