NPI | 1033165154 |
---|---|
Doing Business As | EISENHOWER PARKWAY DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | JON M. SUNDOCK Vice President 615-507-3307 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001230) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2015-07-22 |