NPI | 1073936472 |
---|---|
Doing Business As | SCOTLANDVILLE 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: LA 2203782036) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2023-05-04 |