| NPI | 1760810378 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS OF SOUTH LEWISVILLE |
| Entity Type | Organization |
| Authorized Contact | MARK R FAWCETT SVP And Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-12-20 |