Tel-Huron Dialysis, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Bloomfield Hills, MI. Organization (NPI-2).
NPI number1154714947
StatusActive
Last updated in NPPESMar 18, 2015
Details
- NPI
- 1154714947
- Entity type
- Organization (NPI-2)
- Legal business name
- Tel-Huron Dialysis, LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2015
- Last updated
- Mar 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Orchard Square Dialysis (Doing Business As)
Practice location
1900 S Telegraph RdBloomfield Hills, MI 48302-0238
Phone 615-320-4214
Mailing address
5200 Virginia WayL&C Department
Brentwood, TN 37027-7569
Phone 615-320-4214 · Fax 877-735-8016
Authorized official
James K Hilger
Chief Accounting Officer
2532809501
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