| NPI | 1144253527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASIE LYNN EPPERSON Medicare Specialist 615-342-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 110000470) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2025-12-29 |