NPI | 1073709945 |
---|---|
Doing Business As | TIFTON DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN WINSTEL Chief Accounting Officer, Treasurer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD000781) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2023-05-21 |