NPI | 1508224726 |
---|---|
Doing Business As | SANTA ROSA SPRINGS DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAM T WEY VP Licensure&Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2016-02-02 |
Last Update Date | 2024-01-11 |