| 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 |