| NPI | 1760647150 |
|---|---|
| Doing Business As | ITHACA DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | JIM HILGER Vice President 253-382-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |