| NPI | 1386879898 |
|---|---|
| Doing Business As | O'FALLON MISSOURI DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAM T WEY VP Licensure And Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2024-11-07 |