NPI | 1841634144 |
---|---|
Doing Business As | SATELLITE WELLBOUND OF NORTH MODESTO |
Entity Type | Organization |
Authorized Contact | SUSAN L DEL BENE Secretary/CFO 650-404-3618 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2013-04-18 |
Last Update Date | 2016-12-29 |