NPI | 1700227287 |
---|---|
Doing Business As | WATERS PLACE DIALYSIS CENTER |
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 |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-05-15 |