| NPI | 1083625354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LONE BEAR Director 701-627-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-04-03 |