NPI | 1578740387 |
---|---|
Doing Business As | JEDBURG DIALYSIS |
Entity Type | Organization |
Authorized Contact | JAMES K HILGER Cheif Accounting Officer 253-733-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SC ERD-0183) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2015-09-30 |