PONCA DIALYSIS LLC

SAN JOSE, CA
NPI1538400239
Doing Business AsTULLY ROAD HOME TRAINING
Entity TypeOrganization
Authorized ContactSAMUEL WEY
VP Licensure & Certification
615-341-6641
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2013-03-06
Last Update Date2024-03-29
Business Address
PONCA DIALYSIS LLC
1290 TULLY RD STE 60
SAN JOSE, CA 95122-3069
Phone number: 408-275-0105
Mailing Address
PONCA DIALYSIS LLC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: