Organization
SEABAY DIALYSIS LLC
Active
Other names
San Bernardino Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
966 E HOSPITALITY LN, SAN BERNARDINO, CA 92408-2818
(909) 796-8421
(909) 478-7547
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306267364
—
CA
Enumeration date
12/18/2013
Last updated
04/08/2026
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