NPI | 1073517967 |
---|---|
Doing Business As | SOUTH VALLEY DIALYSIS |
Entity Type | Organization |
Authorized Contact | SUE VOGEL Sr Vice President 770-541-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000784) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2020-08-22 |