NPI | 1063773042 |
---|---|
Doing Business As | SPRINGVILLE DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D. WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AL S5804) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2022-11-22 |