| NPI | 1669698452 |
|---|---|
| Doing Business As | JERSEY DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | LORRIE A HADEN Director Revenu Cycle Management 217-223-8400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-03-27 |