NPI | 1285213850 |
---|---|
Doing Business As | GRANTS LAKE 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 | 2021-04-02 |
Last Update Date | 2023-06-13 |