| NPI | 1790824530 |
|---|---|
| Doing Business As | WIND RIVER DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | DIANE GARCIA CEO, Nurse Manager 307-332-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WY 07-177) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-04-24 |