NPI | 1013022854 |
---|---|
Doing Business As | OAK PARK DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Treasurer 781-402-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |