NPI | 1730353921 |
---|---|
Doing Business As | EAST DEKALB DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001212) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2020-02-27 |