NPI | 1093927824 |
---|---|
Doing Business As | FALLON 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: NV 5013ESR-0) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2023-10-17 |