| NPI | 1639447105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 24472) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2025-04-21 |