Organization
RENAL LIFE LINK INC
Active
Other names
Willow Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1675 ALEX DR, WILMINGTON, OH 45177-2446
(937) 383-3338
(937) 383-3631
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
0690DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2673521
—
OH
Enumeration date
04/20/2006
Last updated
03/30/2026
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