Organization
GUILDER DIALYSIS LLC
Active
Other names
Caroline County 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
842 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-4639
(410) 479-4644
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, 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
—
502422600
—
MD
Enumeration date
06/27/2018
Last updated
08/07/2024
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