NPI | 1699318675 |
---|---|
Doing Business As | BAY BARK DALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | MILES DAVIS Director 800-975-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2019-10-23 |
Last Update Date | 2019-10-23 |