| NPI | 1265540181 |
|---|---|
| Doing Business As | EVERGREEN PARK DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-10-09 |