| NPI | 1881668796 |
|---|---|
| Doing Business As | GRASS VALLEY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY Sr Director Licensure&Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: CA 110000483) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-10-16 |