Organization
SPREWELL DIALYSIS LLC
Active
Other names
Model City 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
1724 LEIGHTON AVE, ANNISTON, AL 36207-3833
(256) 236-5864
(256) 741-1782
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
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
—
223266
—
AL
Enumeration date
11/11/2013
Last updated
04/21/2020
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