NPI | 1366745630 |
---|---|
Doing Business As | FORT WAYNE WEST DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2010-12-08 |
Last Update Date | 2022-02-08 |