Organization · Type 2 NPI

Beachside Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harper Woods, MI

NPI number 1780953604 Active

Practice location

19265 Vernier Rd
Harper Woods, MI 48225-1010

Call (313) 640-0271 Map

Fax (313) 640-7683

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Harper Woods

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NPI record

NPI: 1780953604
Entity type: Organization (Type 2)
Issued: Dec 21, 2011
Last updated: Oct 18, 2024
Status: Active

Other names

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Harper Woods Dialysis · doing business as
Harper Woods Dialysis · doing business as

Authorized official

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

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About NPI 1780953604

Beachside Dialysis LLC's National Provider Identifier is 1780953604, issued on Dec 21, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Harper Woods, MI. The record was last updated on Oct 18, 2024.