| NPI | 1043982101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKEISHA ZEIGLER Authorized Agent 586-496-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |