NPI | 1548995004 |
---|---|
Doing Business As | NORTH OCEAN AVENUE DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY Assistant Secretary 615-341-6691 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2022-07-19 |
Last Update Date | 2025-03-11 |