NPI | 1134787864 |
---|---|
Doing Business As | BEACH PARK 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 |
Enumeration Date | 2019-05-29 |
Last Update Date | 2024-09-12 |