NPI | 1972520997 |
---|---|
Doing Business As | WELLBOUND OF LAFAYETTE |
Entity Type | Organization |
Authorized Contact | SUSAN L DEL BENE Secretary/CFO 650-404-3618 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-07-16 |
Last Update Date | 2016-12-29 |