NPI | 1093443640 |
---|---|
Doing Business As | MANATEE BAY DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY Sr. Director, Licensure & Cert 615-341-6691 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2022-08-11 |
Last Update Date | 2023-09-20 |