| NPI | 1396594602 |
|---|---|
| Former Legal Business Name | NEW LIFE DIALYSIS CENTER INC |
| Entity Type | Organization |
| Authorized Contact | DEVORATH FONSECA President 786-963-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-06-03 |