| NPI | 1962108753 |
|---|---|
| Doing Business As | KAISER PERMANENTE SHADY GROVE PERITONEAL DIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | COLLEEN SWINTON Director, Regional Credentialing 301-257-2797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |