Organization
RUNSTONE DIALYSIS, LLC
Active
Other names
Novi Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
27225 PROVIDENCE PKWY, STE 300, NOVI, MI 48374-1271
(248) 449-5996
(248) 449-6232
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
—
1942732599
—
MI
Enumeration date
04/03/2017
Last updated
10/18/2024
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