NPI | 1255360384 |
---|---|
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 40401) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2025-06-16 |