NPI | 1124051602 |
---|---|
Entity Type | Organization |
Authorized Contact | DONOVAN SCHULTZ President 615-327-3061 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: SC ERD-030) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2023-10-04 |