| NPI | 1407256092 |
|---|---|
| Doing Business As | RIDGE PARK 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 1118DC) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-05-30 |