| NPI | 1518705524 |
|---|---|
| Doing Business As | CITRUS GROVE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP, Licensure And Certification 615-341-6691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |