| NPI | 1083232979 |
|---|---|
| Doing Business As | DCI POCATELLO |
| Entity Type | Organization |
| Authorized Contact | DONOVAN SCHULTZ President 615-327-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-10-04 |