NPI | 1003815986 |
---|---|
Doing Business As | GLENDALE HEMODIALYSIS FACILITY |
Entity Type | Organization |
Authorized Contact | JOHN R DE PALMA C.E.O./President 818-500-8736 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000232) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2020-08-22 |