NPI | 1649514654 |
---|---|
Doing Business As | NORTH MADERA DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY Sr Dir Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550002353) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-09-28 |