Organization
GANOIS DIALYSIS LLC
Active
Other names
Wall Township Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5100 BELMAR BLVD, STE 1, WALL TOWNSHIP, NJ 07727-4028
(732) 938-2780
(732) 938-2654
Mailing address
5200 VIRGINIA WAY, L & C DEPT, 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
—
0484857
—
NJ
Enumeration date
06/11/2014
Last updated
03/18/2026
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