NPI | 1609290329 |
---|---|
Doing Business As | LIBERTY DIALYSIS - HUNTSVILLE |
Entity Type | Organization |
Authorized Contact | BARRY L. BLANTON Vice President 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2014-02-17 |
Last Update Date | 2023-10-14 |