Organization
ROUTT DIALYSIS LLC
Active
Other names
Sierra Rose Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
685 SIERRA ROSE DR, RENO, NV 89511-2060
(775) 829-6580
(775) 829-6581
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
3732ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679713036
—
NV
Enumeration date
02/25/2009
Last updated
10/01/2024
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