NPI | 1497443832 |
---|---|
Doing Business As | LAKE SUMTER DIALYSIS AT THE VILLAGES |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY Sr. Director, Licensure And Cert. 615-341-6691 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2023-04-25 |
Last Update Date | 2023-08-29 |