| NPI | 1538937065 |
|---|---|
| Doing Business As | LAUREL PARK DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY Senior VP Licensure & Certification 800-467-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-21 |