Organization
CLYFEE DIALYSIS LLC
Active
Other names
EA Motto Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1228 E RUSHOLME ST STE 1000, DAVENPORT, IA 52803-2467
(563) 322-0101
(563) 322-2092
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
—
1821499245
—
IA
Enumeration date
09/05/2014
Last updated
02/03/2025
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