| NPI | 1891910865 |
|---|---|
| Doing Business As | LOUISA FORT GAY REGIONAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SUBHASH KUMAR Owner Medical Director 304-654-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-18 |