NPI | 1114981479 |
---|---|
Doing Business As | EASTGATE 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: OH 0241DC) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2022-10-20 |