NPI | 1932154697 |
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Doing Business As | CEDAR VALLEY DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | GILMORE JOHN IREY CEO 319-235-5390 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-05-23 |
Last Update Date | 2008-04-20 |