| NPI | 1285733584 |
|---|---|
| Doing Business As | MONTGOMERY COUNTY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | TERRANCE E WILSON Chief Executive Officer 765-423-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IN 060050031) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |