| NPI | 1669465753 |
|---|---|
| Doing Business As | LILLIAN BOOTH DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN SHANNON Biller 201-664-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: NJ 80137) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |