| NPI | 1225704125 |
|---|---|
| Doing Business As | SOUTH EDISON DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-01-25 |