NPI | 1669426813 |
---|---|
Doing Business As | SUGARLOAF DIALYSIS |
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: GA ESRD001255) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2024-08-15 |