| NPI | 1093790578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE M MCKELVEY Sr Director Of Gove RN Ment Reimb 319-467-8549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-04-24 |