Organization
TERRE DIALYSIS LLC
Active
Organization
TERRE DIALYSIS LLC
Active
Other names
Universal Huntington Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1824 E SLAUSON AVE, VERNON, CA 90058-3829
(323) 364-0188
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
Enumeration date
09/12/2019
Last updated
07/30/2025
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