| NPI | 1235191859 |
|---|---|
| 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: TN 88) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2024-03-26 |