NPI | 1528009040 |
---|---|
Doing Business As | MERCY DIALYSIS UNIT |
Entity Type | Organization |
Authorized Contact | TIMOTHY CHARLES President And CEO 319-398-6697 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IA 570036H) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2014-06-26 |