| NPI | 1780943514 |
|---|---|
| Doing Business As | PARKSIDE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP, Licensure & Certification 615-320-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2023-12-12 |