| NPI | 1376521930 |
|---|---|
| Doing Business As | CENTENNIAL ATLANTA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001143) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2021-01-07 |