| NPI | 1932451671 |
|---|---|
| Doing Business As | MISHAWAKA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-382-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2013-08-21 |