Organization
CABALLO DIALYSIS LLC
Active
Organization
CABALLO DIALYSIS LLC
Active
Other names
Hi Hat Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
17721 KY ROUTE 122, HI HAT, KY 41636-6624
(606) 377-6393
(606) 377-2674
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
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
—
7100222460
—
KY
Enumeration date
11/04/2011
Last updated
05/18/2022
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