NPI | 1851350714 |
---|---|
Doing Business As | WELLESLEY DIALYSIS |
Entity Type | Organization |
Authorized Contact | THOMAS O USILTON Group Vice President 770-541-7922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MA E5UZ) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2007-08-14 |