| NPI | 1104806785 |
|---|---|
| Doing Business As | PARKSIDE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | VICKI L BURRIER Director/Vice President 954-474-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 40704) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |