Organization
GENESSEE DIALYSIS LLC
Active
Other names
Red Bank Mills Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (SR DIRECTOR,LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5552 PLATT SPRINGS RD, LEXINGTON, SC 29073-7518
(803) 957-2369
(803) 957-8628
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
RE0095
—
SC
Enumeration date
03/15/2019
Last updated
09/27/2023
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