NPI | 1134141906 |
---|---|
Doing Business As | ST BERNARDS DIALYSIS |
Entity Type | Organization |
Authorized Contact | BENJAMIN BARYLSKE CFO 870-972-4565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AR AR4053) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2020-07-20 |