Organization
PINON DIALYSIS LLC
Active
Other names
Rialto Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VICE PRESIDENT, LICENSURE & CERTIFI)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1275 W FOOTHILL BLVD STE 1, RIALTO, CA 92376-4748
(615) 341-6282
Mailing address
5200 VIRGINIA WAY, ATTN: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6282
(866) 510-6389
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
01/04/2024
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