| NPI | 1023521572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLAIR CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2021-01-27 |