NPI | 1881007953 |
---|---|
Doing Business As | FOREST FAIR DIALYSIS |
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: OH 0919DC) |
Enumeration Date | 2014-06-06 |
Last Update Date | 2024-05-09 |