Organization
ABLE DIALYSIS LLC
Active
Other names
Providence Square Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE AND CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2835 W CHESTER PIKE STE 2, BROOMALL, PA 19008-1833
(610) 356-2719
(610) 356-3647
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
Enumeration date
02/20/2024
Last updated
10/09/2025
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