| NPI | 1962518753 |
|---|---|
| Doing Business As | GRAND JUNCTION DIALYSIS CENTER |
| 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: CO 121105) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-01-19 |