NPI | 1699129627 |
---|---|
Doing Business As | NORTH RANDOLPH DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | TERRY L HALES Assistant Treasurer 336-716-3003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2016-04-15 |
Last Update Date | 2023-08-15 |