Organization
LANDING DIALYSIS LLC
Active
Other names
Lake Erie 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
2563 W 8TH ST, ERIE, PA 16505-4430
(814) 838-2849
(814) 838-1584
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
—
1027490570001
—
PA
Enumeration date
01/18/2012
Last updated
06/17/2024
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