| NPI | 1013235118 |
|---|---|
| Doing Business As | FOUNTAIN INN DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SC ERD0177) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2023-11-20 |