NPI | 1780054478 |
---|---|
Doing Business As | PRINCESS ANNE 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 |
Enumeration Date | 2015-10-07 |
Last Update Date | 2024-07-25 |