NPI | 1407186018 |
---|---|
Doing Business As | ST V QUADRANGLE 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 (Licence: OH 0961DC) |
Enumeration Date | 2010-01-04 |
Last Update Date | 2020-05-12 |