NPI | 1063880854 |
---|---|
Doing Business As | ST CLOUD DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2015-09-10 |
Last Update Date | 2024-11-19 |