| NPI | 1386028843 |
|---|---|
| Doing Business As | IVY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY Assistant Secretary 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-08-08 |