NPI | 1699022913 |
---|---|
Doing Business As | GRACIAS DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110165) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2022-09-06 |