| 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 |