NPI | 1548995004 |
---|---|
Doing Business As | NORTH OCEAN AVENUE DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL WEY Assistant Secretary 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2022-07-19 |
Last Update Date | 2025-04-08 |