| NPI | 1285848176 |
|---|---|
| Doing Business As | NICHOLASVILLE DIALYSIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON M. SUNDOCK Vice President 615-507-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: KY 300190) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-02-10 |