Organization
JABINE DIALYSIS, LLC
Active
Other names
Coronaca Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3337 HIGHWAY 72-221 E, GREENWOOD, SC 29649-9772
(864) 229-0101
(864) 229-0120
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
SC
Other
Enumeration date
03/26/2018
Last updated
02/04/2026
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