NPI | 1811140767 |
---|---|
Doing Business As | GULF SHORES DIALYSIS CENTER |
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: AL S0206) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2024-03-06 |