Organization
KOLLOBE DIALYSIS LLC
Active
Other names
Harvard Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
4670 RICHMOND RD STE 250, CLEVELAND, OH 44128-6411
(216) 378-9706
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 238-3136
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
04/02/2020
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