Organization
BRETTON DIALYSIS LLC
Active
Organization
BRETTON DIALYSIS LLC
Active
Other names
The District 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
2300 CORPORATE CIR STE 100, HENDERSON, NV 89074-7725
(702) 487-5576
(702) 834-3059
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
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
—
250000179
—
NV
Enumeration date
11/08/2017
Last updated
10/26/2023
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