Organization
VERDE DIALYSIS LLC
Active
Other names
Shepherdsville Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
150 BROOKS WAY, STE 15, BROOKS, KY 40109-6105
(502) 955-2153
(502) 955-2174
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100390
—
KY
Enumeration date
01/07/2009
Last updated
07/17/2024
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