| NPI | 1194829630 |
|---|---|
| Doing Business As | GRAPEVINE 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: TX 008284) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-01-30 |