| NPI | 1639613649 |
|---|---|
| Doing Business As | BRIDGETON DIALYSIS |
| 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: NJ 25050) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2020-07-20 |