| NPI | 1174516280 |
|---|---|
| Doing Business As | LOURDES MT. LAUREL DIALYSIS UNIT |
| Entity Type | Organization |
| Authorized Contact | ANDREW GUARNI CFO 856-824-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 10404) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-12-07 |