| NPI | 1780734012 |
|---|---|
| Doing Business As | SHAKER SQUARE 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 (Licence: OH 0294DC) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-07-11 |