| NPI | 1689639502 |
|---|---|
| Doing Business As | FAIRBORN 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: OH 0778dc) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-09-01 |