| NPI | 1215287941 |
|---|---|
| Doing Business As | LOURDES INNOVA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 24255) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2023-10-19 |