| NPI | 1407538697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEEMAN Manager Of LLC 615-890-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |