NPI | 1760479554 |
---|---|
Doing Business As | WARNER DIALYSIS CENTER- SPIRIT LAKE |
Entity Type | Organization |
Authorized Contact | BRENDA TIEFENTHALER Chief Executive Officer 712-264-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IA 37H) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2023-10-10 |