NPI | 1518930890 |
---|---|
Doing Business As | BOAZ DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AL S4802) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2024-04-03 |