Organization
EUFAULA DIALYSIS LLC
Active
Other names
East Paterson Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
680 BROADWAY, STE 103, PATERSON, NJ 07514-1526
(973) 357-8079
(973) 279-1825
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
—
0449920
—
NJ
Enumeration date
11/27/2013
Last updated
05/15/2024
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