NPI | 1194834903 |
---|---|
Doing Business As | MID AMERICA DIALYSIS |
Entity Type | Organization |
Authorized Contact | BARRY L. BLANTON Vice President 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: OH 362649) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2023-10-17 |