Organization
GIVHAN DIALYSIS LLC
Active
Other names
Cypress Gardens 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
526 BROAD ST, SUMTER, SC 29150-3306
(803) 773-5891
(803) 773-6464
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
ERD-0212
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RE0057
—
SC
Enumeration date
11/22/2013
Last updated
02/20/2026
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