| NPI | 1609297589 |
|---|---|
| Doing Business As | QUINCY AVENUE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-733-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2015-04-07 |