| NPI | 1043491194 |
|---|---|
| Doing Business As | HUMBOLDT RIDGE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | BARRY LEE LUCKENBILL Managing Member 414-777-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-12-27 |