NPI | 1902196355 |
---|---|
Doing Business As | SAN MATEO MILLS 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 550001607) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2024-02-28 |