| NPI | 1912371212 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS - WEST COLUMBUS |
| Entity Type | Organization |
| Authorized Contact | MONIQUE HARTELL Manager 480-632-3415 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2023-10-19 |