Organization
ETOWAH DIALYSIS LLC
Active
Parent organization
DAVITA INC
Other names
St. Luke's Anderson Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAM T WEY (AO)
(615) 341-6691
Entity
Organization
Contact information
Practice address
3779 NICHOLAS ST, EASTON, PA 18045-5115
(484) 545-0609
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
12/29/2023
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