| NPI | 1114149614 |
|---|---|
| Other Name | UPSTATE DIALYSIS #382 |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J. GAYLE Facility Administrator 864-271-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: SC ERD-098) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |