| NPI | 1598711137 |
|---|---|
| Other Name | CCDF |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S SPIERS Administrator 937-328-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 192) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |