NPI | 1720662489 |
---|---|
Doing Business As | ARA SOUTH JACKSONVILLE DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | SARA ANNE BRADY Chief Nursing Officer 208-371-7878 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2021-05-10 |
Last Update Date | 2023-01-10 |