| NPI | 1073519369 |
|---|---|
| Doing Business As | NEW MARTINSVILLE DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | DEBRA LUCKI Assistant Administrator 304-242-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |