| 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 |