| NPI | 1023041407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN SCHULTZ President 615-327-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AZ OTC-0307) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-10-04 |