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Medicl Facility ID: 636239263811536437

Facility Business Name: DAVITA GRANT LINE DIALYSIS ( TRACY, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id636239263811536437
Facility NameDAVITA GRANT LINE DIALYSIS
Address Line2955 NORTH CORRAL HOLLOW RD, STE 101
CityTRACY
StateCA
Zip95376
CountySan Joaquin
Phone209-839-8302
TypeDialysis Facility
Provider Id752508