| NPI | 1134538820 |
|---|---|
| Doing Business As | EASTERN BOULEVARD DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer, Treasurer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2691) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2022-03-30 |