| NPI | 1376658112 |
|---|---|
| Doing Business As | HOME DIALYSIS OF EASTGATE |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-05-29 |