NPI | 1609206200 |
---|---|
Doing Business As | MARKET COMMONS DIALYSIS CENTER |
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: SC ERD-0211) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2023-04-17 |