NPI | 1538135223 |
---|---|
Doing Business As | SOUTH NORWALK DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CT 0263) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2021-07-14 |