SRS-PROVO, LLC

PROVO, UT
NPI1679147904
Entity TypeOrganization
Authorized ContactJEROME TANNENBAUM
CEO And Chairman Of The Board
615-467-0140
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2021-05-20
Last Update Date2021-05-21
Business Address
SRS-PROVO, LLC
1675 N FREEDOM BLVD
PROVO, UT 84604-2540
Phone number: 888-881-7854
Mailing Address
SRS-PROVO, LLC
PO BOX 198813
NASHVILLE, TN 37219-8813
Phone number: 615-988-1060