NPI | 1508118977 |
---|---|
Doing Business As | LA PALMA DIALYSIS |
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: CA 080000679) |
Enumeration Date | 2012-10-10 |
Last Update Date | 2023-09-29 |