Organization · Type 2 NPI

Swanville Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Goldsboro, NC

NPI number 1801675558 Active

Practice location

105 Adair Dr Ste B
Goldsboro, NC 27530-4516

Call (615) 341-5875 Map

Mailing address

5200 Virginia Way, Licensure & Certification
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...

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NPI record

NPI: 1801675558
Entity type: Organization (Type 2)
Issued: Sep 22, 2023
Last updated: Feb 8, 2024
Status: Active

Other names

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Eagles Nest Home Training · doing business as
Eagles Nest Home Training · doing business as

Authorized official

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

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About NPI 1801675558

Swanville Dialysis, LLC's National Provider Identifier is 1801675558, issued on Sep 22, 2023. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Goldsboro, NC. The record was last updated on Feb 8, 2024.