| NPI | 1023070653 |
|---|---|
| Doing Business As | COOKEVILLE 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: TN 110) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-10-20 |