Organization
KEYSTONE DIALYSIS LLC
Active
Other names
East China Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
4180 HOSPITAL DR, EAST CHINA, MI 48054-2232
(810) 326-0032
(810) 326-0151
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871979492
—
MI
Enumeration date
08/05/2015
Last updated
12/14/2020
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