| NPI | 1588602221 |
|---|---|
| Doing Business As | GARDENDALE DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | MARK FAWCETT Treasurer 781-699-2668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-05-28 |