BLAKE DIALYSIS LLC

MILWAUKEE, WI
NPI1659714558
Doing Business AsCAPITOL COURT DIALYSIS
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 Date2013-04-10
Last Update Date2024-07-18
Business Address
BLAKE DIALYSIS LLC
4176 N 56TH ST
MILWAUKEE, WI 53216-1276
Phone number: 414-445-2119
Mailing Address
BLAKE DIALYSIS LLC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: