EDISTO DIALYSIS LLC
Ambulatory Health at Harbor Blvd, Garden Grove, CA

License number
California 550002921
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: JAMES K HILGER
Title: CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4500
Address
Address 2
13054 Harbor Blvd, Garden Grove, CA 92843
5200 Virginia Way DEPT C, Brentwood, TN 37027
National Provider ID: 1619397700
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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