NPI | 1437568771 |
---|---|
Doing Business As | VICTORY DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD000693) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2024-05-22 |