Organization
JUBILEE DIALYSIS LLC
Active
Other names
Wellington Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
573 N STATE ROAD 7, ROYAL PALM BEACH, FL 33411-3524
(561) 793-4285
(561) 784-7090
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
—
100773100
—
FL
Enumeration date
03/09/2016
Last updated
08/08/2024
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