| NPI | 1295730505 |
|---|---|
| Doing Business As | LOCK HAVEN DIALYSIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHESTER A. AMEDIA CEO 330-781-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |