NPI | 1639350804 |
---|---|
Doing Business As | CENTENNIAL DIALYSIS CENTER |
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 |
Enumeration Date | 2007-11-16 |
Last Update Date | 2024-05-09 |