NPI | 1003020579 |
---|---|
Doing Business As | WK RENAL DIALYSIS |
Entity Type | Organization |
Authorized Contact | MARY JANE WARD CFO 318-212-4384 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2007-05-10 |
Last Update Date | 2017-02-17 |