| NPI | 1457037384 |
|---|---|
| Doing Business As | SRS-LOS NIETOS, LLC |
| Entity Type | Organization |
| Authorized Contact | JEROME S TANNENBAUM CEO 615-467-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-12-12 |