NPI | 1174131783 |
---|---|
Other Name | SERENITY BLUE DIALYSIS CARE |
Entity Type | Organization |
Authorized Contact | ESTER MBAYA Executive Director 717-914-4105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2020-07-20 |
Last Update Date | 2021-12-14 |