| NPI | 1497443832 |
|---|---|
| Doing Business As | LAKE SUMTER DIALYSIS AT THE VILLAGES |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-02-11 |