| NPI | 1891868519 |
|---|---|
| Other Name | RAI-HARBOR BLVD.-GARDEN GROVE |
| Entity Type | Organization |
| Authorized Contact | MARK R. FAWCETT Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-01-27 |