| NPI | 1083257257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN WOODY Billing Manager 301-577-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2025-07-01 |