NPI | 1265489686 |
---|---|
Doing Business As | CROSSVILLE DIALYSIS CLINIC |
Entity Type | Organization |
Authorized Contact | BARRY BLANTON Vice President 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TN 0000000148) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2023-10-17 |