Organization
ATLANTIC DIALYSIS LLC
Active
Other names
Mankato Uptown 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
1802 COMMERCE DR, NORTH MANKATO, MN 56003-1800
(507) 387-9095
(507) 345-4947
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
Enumeration date
12/19/2016
Last updated
11/21/2024
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