Organization
GRAMBRILL DIALYSIS LLC
Active
Other names
North Wales Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(615) 320-4414
Entity
Organization
Contact information
Practice address
1551 S VALLEY FORGE RD, LANSDALE, PA 19446-5461
(215) 361-6192
(215) 361-2032
Mailing address
5200 VIRGINIA WAY, L AND C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4414
(866) 865-2884
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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