NPI | 1366130700 |
---|---|
Doing Business As | BIG BEND DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY Vice President, Licensure And Cert. 615-341-6691 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2023-04-25 |
Last Update Date | 2024-03-22 |