| NPI | 1710930086 |
|---|---|
| Doing Business As | TRI-STATE DIALYSIS MANCHESTER |
| Entity Type | Organization |
| Authorized Contact | MARIAH ANN BRANDENBURG Administration 563-589-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-08-28 |