| NPI | 1538106794 |
|---|---|
| Other Name | CHILDREN'S HOSPITAL NEPHROLOGY & DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct Officer And Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-03-31 |