NPI | 1992386635 |
---|---|
Doing Business As | OWOSSO MEMORIAL DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | JAMES JOSEPH DIVITO Vice President 781-699-9172 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2021-04-15 |
Last Update Date | 2023-10-24 |