Organization
RICKWOOD DIALYSIS LLC
Active
Other names
Village Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6952 INDUSTRIAL PKWY, ROSENBERG, TX 77471-5656
(281) 232-3116
(281) 232-5821
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
—
3297558-01
—
TX
Enumeration date
10/14/2011
Last updated
03/19/2025
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