| NPI | 1558524512 |
|---|---|
| Doing Business As | BLACK ROCK DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY Sr Director Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CT 0283) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-10-11 |