| NPI | 1427762897 |
|---|---|
| Doing Business As | LIBERTY PARK DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP, Licensure & Certification 615-320-4414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-01-03 |