NPI | 1528584448 |
---|---|
Doing Business As | EAGLES LANDING 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 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2024-08-09 |