Organization
CERITO DIALYSIS PARTNERS LLC
Active
Other names
Wolf River 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
7990 TRINITY RD, STE 101, CORDOVA, TN 38018-7731
(901) 751-3120
(901) 751-3223
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
202
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442709
—
TN
Enumeration date
04/13/2010
Last updated
03/02/2026
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