Organization
RENAL LIFE LINK INC
Active
Other names
New Hope Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5640 INTERNATIONAL PKWY, NEW HOPE, MN 55428-3047
(763) 537-0300
(763) 537-0340
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477875243
—
MN
Enumeration date
02/22/2010
Last updated
07/18/2024
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