| NPI | 1073799383 |
|---|---|
| Doing Business As | PEORIA HOME DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Vice President 253-382-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2009-09-15 |