NPI | 1497870885 |
---|---|
Doing Business As | LEESVILLE DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | JAMES J DIVITO Vice President 781-699-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-11-16 |