NPI | 1205415593 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2021-04-05 |
Last Update Date | 2025-04-07 |