| NPI | 1538265335 |
|---|---|
| Doing Business As | STATE FAIR DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | RACHEL DONALDSON CEO 313-893-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MI 4301406139) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-04-20 |