PORTOLA DIALYSIS LLC

SAGINAW, MI
NPI1861947020
Doing Business AsMID VALLEY PD HOME TRAINING
Entity TypeOrganization
Authorized ContactJOHN D WINSTEL
Chief Accounting Officer
253-733-4501
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2016-08-17
Last Update Date2020-07-29
Business Address
PORTOLA DIALYSIS LLC
1205 N MICHIGAN AVE
SAGINAW, MI 48602-4729
Phone number: 989-771-9381
Mailing Address
PORTOLA DIALYSIS LLC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: 615-320-4514