Organization
KIDNEY LIFE, LLC
Active
Other names
Sayreville Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
2909 WASHINGTON RD, STE 130, PARLIN, NJ 08859-1588
(732) 316-4960
(732) 316-4966
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
0968510
—
NJ
Enumeration date
08/30/2019
Last updated
03/12/2025
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