NPI | 1811926504 |
---|---|
Doing Business As | SHORE 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: NJ 80131) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-03 |