NPI | 1548354301 |
---|---|
Other Name | RAI-NORTH HEALTHY WAY-FREMONT |
Entity Type | Organization |
Authorized Contact | JON M SUNDOCK Vice President 615-507-3307 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-02-15 |