| NPI | 1508175464 |
|---|---|
| Doing Business As | MAGNOLIA OAKS DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY Sr Director Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD000739) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2023-09-06 |