NPI | 1932165867 |
---|---|
Doing Business As | WILLOW DIALYSIS CENTER |
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: OH 0690DC) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2023-10-12 |