| NPI | 1922649938 |
|---|---|
| Doing Business As | COLLEGE ESTATES DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T. WEY VP, Licensure & Certification 615-320-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-07-11 |