Organization · Type 2 NPI

Renal Life Link Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Old Forge, PA

NPI number 1760444533 Active

Practice location

325 S Main St
Old Forge, PA 18518-1677

Call (570) 457-3174 Map

Fax (570) 457-3313

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1760444533
Entity type: Organization (Type 2)
Issued: Apr 5, 2006
Last updated: May 1, 2024
Status: Active

Other names

<unavail>
Old Forge Dialysis · doing business as
Old Forge Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1760444533

Renal Life Link Inc's National Provider Identifier is 1760444533, issued on Apr 5, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Old Forge, PA. The record was last updated on May 1, 2024.