Organization
WATERFORD DIALYSIS LLC
Active
Parent organization
TRILOGY DIALYSIS LLC
Other names
Trilogy Dialysis - Waterford
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRILOGY DIALYSIS LLC
Authorized official
CRISTINA PIETROWSKI (SVP & CHIEF LEGAL OFFICER)
(502) 412-5847
Entity
Organization
Contact information
Practice address
800 ST. JOSEPH DRIVE, DIALYSIS CLINIC, KOKOMO, IN 46901-1983
(765) 236-1239
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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