| NPI | 1508029372 |
|---|---|
| Doing Business As | ADVANCED DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY HAYES JENKINS CEO 202-422-7492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2656) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-01-15 |