PRAIRIE DIALYSIS LLC

TUSTIN, CA
NPI1407233240
Entity TypeOrganization
Authorized ContactSAMUEL T. WEY
VP, Licensure & Certification
615-341-6641
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2015-04-30
Last Update Date2024-04-05
Business Address
PRAIRIE DIALYSIS LLC
721 W 1ST ST
TUSTIN, CA 92780-2903
Phone number: 714-544-0079
Mailing Address
PRAIRIE DIALYSIS LLC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: