| NPI | 1871725358 |
|---|---|
| Doing Business As | MERCY VINTON DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L CHARLES President And CEO 319-398-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-07-21 |