| NPI | 1639124886 |
|---|---|
| Doing Business As | NRI LAKE AVENUE HOME |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN K BARR VP Of Reimbursement 615-467-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-02-06 |