NPI | 1962466441 |
---|---|
Doing Business As | EDEN PRAIRIE 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 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2024-02-19 |