| NPI | 1518079490 |
|---|---|
| Doing Business As | CROCKETT DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK R FAWCETT SVP & Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |