NPI | 1295704138 |
---|---|
Doing Business As | DECATUR DIALYSIS CENTER |
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: GA ESRD001002) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2024-03-06 |