Organization
WOODFORD DIALYSIS, LLC
Active
Other names
Titus Landing 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
250 HARRISON ST, STE 310, TITUSVILLE, FL 32780-5026
(321) 383-2357
(321) 383-2362
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
03/03/2025
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