| NPI | 1780734012 |
|---|---|
| Doing Business As | SHAKER SQUARE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 0294DC) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-08-03 |