| NPI | 1548489149 |
|---|---|
| Doing Business As | JACKSON DIALYSIS AND KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | MANISH JAIN Business Manager 606-836-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-08-30 |