Organization
RENAL TREATMENT CENTERS MID ATLANTIC INC
Active
Other names
Ellicott City 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
3419 PLUMTREE DR STE 103, ELLICOTT CITY, MD 21042-3871
(410) 750-8071
(410) 750-8075
Mailing address
5200 VIRGINIA WAY, ATT: 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
Enumeration date
05/10/2019
Last updated
05/12/2026
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