Organization
FREEMAN DIALYSIS LLC
Active
Organization
FREEMAN DIALYSIS LLC
Active
Other names
LA HABRA DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1611 W WHITTIER BLVD, LA HABRA, CA 90631-3618
(562) 267-0430
(562) 266-0045
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
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
—
1912355843
—
CA
Enumeration date
06/01/2016
Last updated
12/22/2023
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