| NPI | 1508057613 |
|---|---|
| Doing Business As | LAKE CLIFF DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY Sr Director Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008593) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-09-20 |