Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Enterprise Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6002 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-9420
(334) 308-0262
(334) 308-1373
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
S1602
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129006
—
AL
Enumeration date
11/08/2010
Last updated
07/11/2025
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