Organization
JERICHO DIALYSIS, LLC
Active
Other names
Langley 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
5 W MERCURY BLVD, HAMPTON, VA 23669-2508
(757) 723-4620
(757) 728-3566
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
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194185223
—
VA
Enumeration date
03/02/2016
Last updated
04/28/2026
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