Organization
PHYSICIANS DIALYSIS ACQUISITIONS INC
Active
Other names
English Village Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11707 WHITTIER AVE, DETROIT, MI 48224-1537
(313) 509-1653
(313) 509-1655
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4568174
—
MI
Enumeration date
04/01/2006
Last updated
06/13/2024
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