| NPI | 1881668788 |
|---|---|
| Doing Business As | MANTECA 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: CA 110000462) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-05-23 |