NPI | 1982723037 |
---|---|
Doing Business As | NORTHERN LIGHT DIALYSIS |
Entity Type | Organization |
Authorized Contact | MAURA C KELLY VP/CFO 207-768-4737 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2007-03-28 |
Last Update Date | 2023-09-27 |