NPI | 1578537601 |
---|---|
Doing Business As | GLENDALE 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: CA 93000002) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2022-01-25 |