NPI | 1710155361 |
---|---|
Doing Business As | CKD SERVICES OF MONTGOMERY BAPTIST |
Entity Type | Organization |
Authorized Contact | MARK FAWCETT Vice President, Treasurer 781-699-2668 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2008-02-18 |
Last Update Date | 2008-10-28 |