Organization
NAHANT DIALYSIS LLC
Active
Other names
Northgrove Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2491 INDUSTRIAL DR STE 200, HIGHLAND, IL 62249
(615) 238-3136
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 238-3136
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
09/04/2018
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