| NPI | 1336317098 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS-CARSON CITY, LLC |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Vice President 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2024-03-21 |