| NPI | 1033219035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS C RAYMOND Medical Director 605-718-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-08-10 |