NPI | 1639143449 |
---|---|
Doing Business As | ST JOHN WEST SHORE DIALYSIS |
Entity Type | Organization |
Authorized Contact | ALLEN R TRACY Senior VP & CFO 216-436-4653 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-02-16 |
Last Update Date | 2020-08-22 |