Organization · Type 2 NPI
Grove Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bowling Green, KY
NPI number
1124303078
Active
Practice location
391 Suwannee Trail St
Bowling Green, KY 42103-7956
Fax (270) 746-5375
Mailing address
5200 Virginia Way, L&c Dept-Suite 400
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1124303078
Grove Dialysis LLC's National Provider Identifier is 1124303078, issued on Oct 11, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bowling Green, KY. The record was last updated on Oct 11, 2011.