| NPI | 1922318666 |
|---|---|
| Doing Business As | PORCUPINE DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLEN RADA President 605-390-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2013-11-22 |