Organization · Type 2 NPI

Renal Life Link Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Henderson, KY

NPI number 1881650182 Active

Practice location

70 N Gardenmile Rd
Henderson, KY 42420-5529

Call (270) 830-0050 Map

Fax (270) 830-0051

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	300126 (KY)

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

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NPI record

NPI: 1881650182
Entity type: Organization (Type 2)
Issued: Apr 25, 2006
Last updated: May 23, 2024
Status: Active

Other names

<unavail>
Gardenside Dialysis · doing business as
Gardenside Dialysis · doing business as

Authorized official

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

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About NPI 1881650182

Renal Life Link Inc's National Provider Identifier is 1881650182, issued on Apr 25, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Henderson, KY. The record was last updated on May 23, 2024.