NPI | 1457797474 |
---|---|
Doing Business As | STEVENS CREEK 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: CA 550002503) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2024-08-30 |