Organization
DECKLUND DIALYSIS LLC
Active
Other names
Concord Township Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
265 WILMINGTON W CHESTER PIKE, CHADDS FORD, PA 19317-9039
(610) 558-6965
(610) 558-7806
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
—
103493170
—
PA
Enumeration date
06/07/2017
Last updated
05/21/2024
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