Organization
RED WILLOW DIALYSIS LLC
Active
Other names
Willow Grove Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1849 DAVISVILLE RD, WILLOW GROVE, PA 19090-4111
(215) 659-3426
(215) 659-3547
Mailing address
5200 VIRGINIA WAY, 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
—
1024543460003
—
PA
Enumeration date
09/16/2010
Last updated
01/22/2026
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