Organization
DIALYSIS CARE CENTER FREMONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU ALAUSA MD (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
1454 W. MAIN ST, FREMONT, MI 49412-0175
(231) 799-5259
(231) 335-2650
Mailing address
PO BOX 3134, JOLIET, IL 60434-3134
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
01/09/2019
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