NPI | 1679718225 |
---|---|
Doing Business As | MAINPLACE DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 080000681) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2024-06-04 |