| NPI | 1730142712 |
|---|---|
| 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: TX 110321) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2025-08-13 |