NPI | 1578550893 |
---|---|
Doing Business As | WARNER DIALYSIS CENTER SPENCER |
Entity Type | Organization |
Authorized Contact | BRENDA TIEFENTHALER Chief Executive Officer 712-264-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IA 37H) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2023-10-10 |