Organization
BURRILL DIALYSIS LLC
Active
Other names
ST. Johns Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE STE 370, OXNARD, CA 93030-7652
(615) 341-6282
(866) 510-6389
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6282
(866) 510-6389
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
01/09/2025
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