| NPI | 1699005223 |
|---|---|
| Doing Business As | MABLETON DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO N/A ADEJOKUN CEO 850-728-2624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA Pending) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2015-12-22 |