| NPI | 1053836486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI P BHIMINI Member Manager 502-523-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |