Organization
ABORDALE DIALYSIS, LLC
Active
Other names
Old Forest Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE AND CERTIFICATION)
(800) 467-4736
Entity
Organization
Contact information
Practice address
3204 OLD FOREST RD, LYNCHBURG, VA 24501-2326
(615) 935-2411
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 935-2411
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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