| NPI | 1083851968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO WILFONG CFO 814-692-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2020-11-19 |