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Organization
STAR DIALYSIS LLC
Active
Organization
STAR DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AAKASH DESAI (FOUNDER/CEO)
(262) 488-1530
Entity
Organization
Contact information
Practice address
4145 LAKE MEADOW DR, RACINE, WI 53402-5321
(262) 488-1530
Mailing address
4145 LAKE MEADOW DR, RACINE, WI 53402-5321
(262) 488-1530
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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