| NPI | 1134218571 |
|---|---|
| Doing Business As | GENESIS CROMWELL |
| Entity Type | Organization |
| Authorized Contact | DEANA STOUT VP Of Finance 443-444-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-03-05 |