NPI | 1124056742 |
---|---|
Doing Business As | PRAIRIE LAKES KIDNEY DIALYSIS WATERTOWN |
Entity Type | Organization |
Authorized Contact | MICHELE TURBAK Cno 605-882-7000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 10572) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-07-31 |