NPI | 1669129110 |
---|---|
Doing Business As | SRS DIALYSIS-WESTLAKE |
Entity Type | Organization |
Authorized Contact | JEROME SEYMOUR TANNENBAUM CEO 615-500-8021 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2022-03-04 |
Last Update Date | 2024-03-27 |