NPI | 1285603266 |
---|---|
Doing Business As | JESUP DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY Sr Director Licensure&Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001110) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-09-28 |