Organization
RARITAN DIALYSIS LLC
Active
Other names
Henry Avenue Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP L&C DEPT)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3232 HENRY AVE, PHILADELPHIA, PA 19129-1241
(267) 876-4258
(267) 876-4275
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
Enumeration date
06/24/2021
Last updated
03/21/2024
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