NPI | 1174579775 |
---|---|
Doing Business As | WHITE PONDS DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D. WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 0609DC) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2022-12-27 |