Organization
SULA DIALYSIS, LLC
Active
Other names
Desert Sands 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
78030 WILDCAT DR, STE 102, PALM DESERT, CA 92211-1116
(760) 772-5608
(760) 345-8973
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
—
1346699600
—
CA
Enumeration date
06/08/2016
Last updated
03/17/2025
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