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Organization

SHELLING DIALYSIS LLC

Active
Other names
Edge River 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
1197 S REDONDO CENTER DR, YUMA, AZ 85365-2036
(928) 329-4340
(928) 783-5018
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
087768
AZ
Enumeration date
10/21/2014
Last updated
10/27/2025
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