NPI | 1376100818 |
---|---|
Doing Business As | BRODIE LANE DIALYSIS |
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 |
Enumeration Date | 2019-05-21 |
Last Update Date | 2024-01-26 |