| NPI | 1740514959 |
|---|---|
| Doing Business As | MABLETON DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO ADEJOKUN CEO 850-728-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-24 |