BLAKE DIALYSIS LLC

CEDARBURG, WI
NPI1497033229
Doing Business AsMILL STREET HOMETRAINING
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 Date2011-07-27
Last Update Date2024-02-23
Business Address
BLAKE DIALYSIS LLC
N54 W6135 MILL ST STE 500
CEDARBURG, WI 53012-2067
Phone number: 262-377-2158
Mailing Address
BLAKE DIALYSIS LLC
5200 VIRGINIA WAY L&C DEPARTMENT
BRENTWOOD, TN 37027-7569
Phone number: 615-341-6264