| NPI | 1053314435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINDA J WEST Administrator 419-227-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 0755DC) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-04-04 |