Organization
KIDNEY LIFE, LLC
Active
Other names
Old Bridge 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
262 TEXAS RD, STE 101, OLD BRIDGE, NJ 08857-4008
(732) 591-4931
(732) 561-3448
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
22401
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0981613
—
NJ
Enumeration date
07/03/2006
Last updated
03/12/2025
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