Organization
HARRIS DIALYSIS LLC
Active
Other names
Limestone County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
16236 LUCAS FERRY RD, ATHENS, AL 35611-3931
(256) 233-3965
(256) 233-3184
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S4202
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137273
—
AL
Enumeration date
05/31/2012
Last updated
02/12/2024
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