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 |