| NPI | 1023328671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY EVERATT CHRISTENSEN Administrator 251-609-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |