| NPI | 1043232812 |
|---|---|
| Doing Business As | ST BERNARDS DIALYSIS WYNNE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BARYLSKE CFO 870-972-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AR AR4053) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-07-20 |