| NPI | 1942216908 |
|---|---|
| Other Name | DIALYSIS EAST |
| Entity Type | Organization |
| Authorized Contact | SUSAN BOLAND President/CEO 262-687-4886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-10-03 |