NPI | 1356372304 |
---|---|
Doing Business As | BROOKS COUNTY DIALYSIS FACILITY |
Entity Type | Organization |
Authorized Contact | GREGORY S. HEMBREE CFO 229-228-2880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD004044) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2017-03-08 |