Organization
WALKER DIALYSIS LLC
Active
Organization
WALKER DIALYSIS LLC
Active
Other names
Fremont at Home
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
39355 CALIFORNIA ST, STE 101, FREMONT, CA 94538-1447
(510) 494-1348
(510) 797-2587
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730472507
—
CA
Enumeration date
05/26/2011
Last updated
12/10/2024
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