Organization
LIFECARE DIALYSIS CENTER INC
Active
Other names
Life Care Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER WASSER (MEDICAL DIRECTOR)
(212) 977-3100
Entity
Organization
Contact information
Practice address
221 W 61ST ST, NEW YORK, NY 10023-7832
(212) 977-6100
(212) 974-9015
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
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
—
01358754
—
NY
Enumeration date
07/01/2006
Last updated
06/24/2008
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