Organization
ARTESIA DIALYSIS LLC
Active
Other names
East Tallahassee Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2417 MILL CREEK CT, STE 3, TALLAHASSEE, FL 32308-4395
(850) 297-0435
(850) 523-0715
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
—
018715000
—
FL
Enumeration date
10/09/2015
Last updated
10/21/2025
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