| NPI | 1205104841 |
|---|---|
| Doing Business As | ST JOSEPHS WAYNE 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: NJ 22344) |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2021-03-31 |