Organization
TOOELE MOBILE DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HODSON JEAN (CEO)
(801) 867-7464
Entity
Organization
Contact information
Practice address
1298 E 850 N, TOOELE, UT 84074-8914
(801) 867-7464
(801) 606-2950
Mailing address
1298 E 850 N, TOOELE, UT 84074-8914
(801) 867-7464
(801) 606-2950
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2010216
UT
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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