NPI | 1629200134 |
---|---|
Doing Business As | NORTH GLENDALE DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550000584) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2025-02-28 |