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Organization

GOLIAD DIALYSIS LLC

Active
Other names
North Sacramento 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
251 LATHROP WAY, STE A, SACRAMENTO, CA 95815-4223
(916) 922-4721
(916) 922-2189
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
550002055
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427322411
CA
Enumeration date
03/08/2012
Last updated
06/10/2024
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