| NPI | 1366405342 |
|---|---|
| Doing Business As | VACAVILLE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T. WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: CA 110000441) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-04-03 |