NPI | 1255623534 |
---|---|
Doing Business As | AVIATION BLVD 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: MD E2631) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2024-09-24 |