| NPI | 1881459170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM T WEY Officer, Authorized Official 615-341-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |